NPI Code Detail JSON Logo

1922627272 NPI number — JENNIFER MERCADO MUNIZ MD

NPI Number: 1922627272
Health Care Provider/Practitioner: JENNIFER MERCADO MUNIZ MD

Information about “1922627272” NPI (JENNIFER MERCADO MUNIZ MD) exists in 1922627272 in HTML format HTML  |  1922627272 in plain Text format TXT  |  1922627272 in PDF (Portable Document Format) PDF  |  1922627272 in an XML format XML  formats.

NPI Number : 1922627272 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922627272",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MERCADO MUNIZ",
    "FirstName": "JENNIFER",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MERCADO MUNIZ",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "501 S 5TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YAKIMA",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98902-3550",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-853-1082",
    "MailingAddressFaxNumber": "509-573-6275",
    "FirstLinePracticeLocationAddress": "1806 W LINCOLN AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YAKIMA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98902-2473",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-452-4520",
    "PracticeLocationAddressFaxNumber": "509-452-5224",
    "EnumerationDate": "04/15/2020",
    "LastUpdateDate": "04/23/2025",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "MD61570569",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208D00000X",
          "TaxonomyName": "General Practice Physician",
          "LicenseNumber": "MD61570569",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": "ML61685672",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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