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1912461997 NPI number — TARYN GORT DNP, APRN, FNP-C

NPI Number: 1912461997
Health Care Provider/Practitioner: TARYN GORT DNP, APRN, FNP-C

Information about “1912461997” NPI (TARYN GORT DNP, APRN, FNP-C) exists in 1912461997 in HTML format HTML  |  1912461997 in plain Text format TXT  |  1912461997 in PDF (Portable Document Format) PDF  |  1912461997 in an XML format XML  formats.

NPI Number : 1912461997 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912461997",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GORT",
    "FirstName": "TARYN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DNP, APRN, FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5808 W 110TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OVERLAND PARK",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "66211-2504",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "913-696-8220",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5808 W 110TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OVERLAND PARK",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "66211-2504",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "913-696-8000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/24/2019",
    "LastUpdateDate": "03/11/2024",
    "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": "163WG0100X",
          "TaxonomyName": "Gastroenterology Registered Nurse",
          "LicenseNumber": "14-125268-041",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2080P0206X",
          "TaxonomyName": "Pediatric Gastroenterology Physician",
          "LicenseNumber": "53-79480-041",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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