NPI Code Detail JSON Logo

1821861030 NPI number — JOSHUA JOSEPH MEYER FNP

NPI Number: 1821861030
Health Care Provider/Practitioner: JOSHUA JOSEPH MEYER FNP

Information about “1821861030” NPI (JOSHUA JOSEPH MEYER FNP) exists in 1821861030 in HTML format HTML  |  1821861030 in plain Text format TXT  |  1821861030 in PDF (Portable Document Format) PDF  |  1821861030 in an XML format XML  formats.

NPI Number : 1821861030 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821861030",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MEYER",
    "FirstName": "JOSHUA",
    "MiddleName": "JOSEPH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1808 S HELEN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOISE",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83705-3512",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-830-5679",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9850 W ST LUKES DR STE 207",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NAMPA",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83687-7912",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-505-2711",
    "PracticeLocationAddressFaxNumber": "208-505-2708",
    "EnumerationDate": "10/31/2023",
    "LastUpdateDate": "01/29/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LX0106X",
          "TaxonomyName": "Occupational Health Nurse Practitioner",
          "LicenseNumber": "53899",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WX0106X",
          "TaxonomyName": "Occupational Health Registered Nurse",
          "LicenseNumber": "53899",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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