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1881297463 NPI number — AMANDA KAY GARCIA NP

NPI Number: 1881297463
Health Care Provider/Practitioner: AMANDA KAY GARCIA NP

Information about “1881297463” NPI (AMANDA KAY GARCIA NP) exists in 1881297463 in HTML format HTML  |  1881297463 in plain Text format TXT  |  1881297463 in PDF (Portable Document Format) PDF  |  1881297463 in an XML format XML  formats.

NPI Number : 1881297463 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881297463",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GARCIA",
    "FirstName": "AMANDA",
    "MiddleName": "KAY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ECCLES",
    "OtherFirstName": "AMANDA",
    "OtherMiddleName": "KAY",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3827 N LAFAYETTE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80205-3339",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-500-1518",
    "MailingAddressFaxNumber": "720-598-0440",
    "FirstLinePracticeLocationAddress": "2550 GRAY FALLS DR STE 150",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77077-6687",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-422-2920",
    "PracticeLocationAddressFaxNumber": "720-598-0440",
    "EnumerationDate": "11/17/2020",
    "LastUpdateDate": "09/16/2024",
    "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": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": "1019853",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "1019853",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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