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1821348046 NPI number — KATARINA MALAIKA FEELEY FNP

NPI Number: 1821348046
Health Care Provider/Practitioner: KATARINA MALAIKA FEELEY FNP

Information about “1821348046” NPI (KATARINA MALAIKA FEELEY FNP) exists in 1821348046 in HTML format HTML  |  1821348046 in plain Text format TXT  |  1821348046 in PDF (Portable Document Format) PDF  |  1821348046 in an XML format XML  formats.

NPI Number : 1821348046 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821348046",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FEELEY",
    "FirstName": "KATARINA",
    "MiddleName": "MALAIKA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FEELEY",
    "OtherFirstName": "KATARINA",
    "OtherMiddleName": "MALAIKA",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "FNP",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "350 ENGLE STREET",
    "SecondLineMailingAddress": "1ST FLOOR MAIN BUILDING",
    "MailingAddressCityName": "ENGLEWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07631",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "350 ENGLE STREET",
    "SecondLinePracticeLocationAddress": "1ST FLOOR MAIN BUILDING",
    "PracticeLocationAddressCityName": "ENGLEWOOD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07631-0763",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-894-3476",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/14/2012",
    "LastUpdateDate": "06/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "337003",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "26NJ00434900",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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