1922326669 NPI number — KAREN REYNOLDS NELSON A.P.R.N.

NPI Number: 1922326669
Health Care Provider/Practitioner: KAREN REYNOLDS NELSON A.P.R.N.

NPI Number : 1922326669 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922326669",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NELSON",
    "FirstName": "KAREN",
    "MiddleName": "REYNOLDS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "A.P.R.N.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COON",
    "OtherFirstName": "KAREN",
    "OtherMiddleName": "LOUISE REYNOLDS",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "A.R.N.P.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "22534 FRANCES WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TALLAHASSEE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32310",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-443-8569",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "100 N. MAIN ST.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHATTAHOOCHEE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32324",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-753-6755",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/05/2010",
    "LastUpdateDate": "07/22/2024",
    "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": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": "ARNP9200614",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "ARNP9200614",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}