NPI Code Detail JSON Logo

1871316471 NPI number — MONIQUE GOETTE FMN-P

NPI Number: 1871316471
Health Care Provider/Practitioner: MONIQUE GOETTE FMN-P

Information about “1871316471” NPI (MONIQUE GOETTE FMN-P) exists in 1871316471 in HTML format HTML  |  1871316471 in plain Text format TXT  |  1871316471 in PDF (Portable Document Format) PDF  |  1871316471 in an XML format XML  formats.

NPI Number : 1871316471 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871316471",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOETTE",
    "FirstName": "MONIQUE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FMN-P",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2018 MEDICAL CENTER PKWY STE B-129",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MURFREESBORO",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37129-3265",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "888-304-9993",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2422 CHOCTAW TRCE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MURFREESBORO",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37129-6528",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-304-9993",
    "PracticeLocationAddressFaxNumber": "888-304-9994",
    "EnumerationDate": "11/04/2024",
    "LastUpdateDate": "11/04/2024",
    "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": "133N00000X",
        "TaxonomyName": "Nutritionist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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