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1841593381 NPI number — THERESA KAYE PEEK APRN

NPI Number: 1841593381
Health Care Provider/Practitioner: THERESA KAYE PEEK APRN

Information about “1841593381” NPI (THERESA KAYE PEEK APRN) exists in 1841593381 in HTML format HTML  |  1841593381 in plain Text format TXT  |  1841593381 in PDF (Portable Document Format) PDF  |  1841593381 in an XML format XML  formats.

NPI Number : 1841593381 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841593381",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PEEK",
    "FirstName": "THERESA",
    "MiddleName": "KAYE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GARDNER",
    "OtherFirstName": "THERESA",
    "OtherMiddleName": "KAYE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "APRN",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 1079",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HENDERSON",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "42419-1079",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "270-827-0353",
    "MailingAddressFaxNumber": "270-827-4966",
    "FirstLinePracticeLocationAddress": "1284 US HIGHWAY 60 W",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MORGANFIELD",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "42437-6236",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "270-389-2323",
    "PracticeLocationAddressFaxNumber": "270-389-0526",
    "EnumerationDate": "12/06/2010",
    "LastUpdateDate": "03/11/2013",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "1100233",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "3006685",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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