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1871737809 NPI number — BETTY LOU REYNOLDS REGISTERED NURSE

NPI Number: 1871737809
Health Care Provider/Practitioner: BETTY LOU REYNOLDS REGISTERED NURSE

Information about “1871737809” NPI (BETTY LOU REYNOLDS REGISTERED NURSE) exists in 1871737809 in HTML format HTML  |  1871737809 in plain Text format TXT  |  1871737809 in PDF (Portable Document Format) PDF  |  1871737809 in an XML format XML  formats.

NPI Number : 1871737809 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871737809",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REYNOLDS",
    "FirstName": "BETTY",
    "MiddleName": "LOU",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "REGISTERED NURSE",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "P.O. BOX 2663",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROWLETT",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75030",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-226-1015",
    "MailingAddressFaxNumber": "972-226-1814",
    "FirstLinePracticeLocationAddress": "310 E. I-30",
    "SecondLinePracticeLocationAddress": "SUITE M106",
    "PracticeLocationAddressCityName": "GARLAND",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75043",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-226-1015",
    "PracticeLocationAddressFaxNumber": "972-226-1814",
    "EnumerationDate": "04/21/2009",
    "LastUpdateDate": "04/21/2009",
    "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": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": "009288",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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