NPI Code Detail JSON Logo

1871124107 NPI number — KRISTAL LYN SIMMONS FNP

NPI Number: 1871124107
Health Care Provider/Practitioner: KRISTAL LYN SIMMONS FNP

Information about “1871124107” NPI (KRISTAL LYN SIMMONS FNP) exists in 1871124107 in HTML format HTML  |  1871124107 in plain Text format TXT  |  1871124107 in PDF (Portable Document Format) PDF  |  1871124107 in an XML format XML  formats.

NPI Number : 1871124107 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871124107",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SIMMONS",
    "FirstName": "KRISTAL",
    "MiddleName": "LYN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SETTLE",
    "OtherFirstName": "KRISTAL",
    "OtherMiddleName": "LYN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "805 N 17TH PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SLATON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79364-3100",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "806-746-7519",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1307 MARTIN LUTHER KING BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LUBBOCK",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79403-5329",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "806-749-3800",
    "PracticeLocationAddressFaxNumber": "806-749-3802",
    "EnumerationDate": "01/27/2020",
    "LastUpdateDate": "12/03/2021",
    "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": "AP1444805",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "AP144805",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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