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1861027765 NPI number — ANGELA TAYLOR THOMPSON LPN

NPI Number: 1861027765
Health Care Provider/Practitioner: ANGELA TAYLOR THOMPSON LPN

Information about “1861027765” NPI (ANGELA TAYLOR THOMPSON LPN) exists in 1861027765 in HTML format HTML  |  1861027765 in plain Text format TXT  |  1861027765 in PDF (Portable Document Format) PDF  |  1861027765 in an XML format XML  formats.

NPI Number : 1861027765 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861027765",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THOMPSON",
    "FirstName": "ANGELA",
    "MiddleName": "TAYLOR",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1629 RAILROAD ST STE 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DAYTON",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37321-2049",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-428-9192",
    "MailingAddressFaxNumber": "423-428-9281",
    "FirstLinePracticeLocationAddress": "215 DAYTON MOUNTAIN HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DAYTON",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37321-1047",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-428-9291",
    "PracticeLocationAddressFaxNumber": "423-428-9281",
    "EnumerationDate": "03/11/2020",
    "LastUpdateDate": "11/09/2023",
    "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": "164W00000X",
        "TaxonomyName": "Licensed Practical Nurse",
        "LicenseNumber": "76148",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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