NPI Code Detail JSON Logo

1972194561 NPI number — BEAU PRESCOTT SEMLER NP

NPI Number: 1972194561
Health Care Provider/Practitioner: BEAU PRESCOTT SEMLER NP

Information about “1972194561” NPI (BEAU PRESCOTT SEMLER NP) exists in 1972194561 in HTML format HTML  |  1972194561 in plain Text format TXT  |  1972194561 in PDF (Portable Document Format) PDF  |  1972194561 in an XML format XML  formats.

NPI Number : 1972194561 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972194561",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SEMLER",
    "FirstName": "BEAU",
    "MiddleName": "PRESCOTT",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1917 ABBEY LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DANVILLE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46122-9538",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-695-6145",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "112 HOSPITAL LN STE 303",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DANVILLE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46122-1998",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-718-4000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/27/2021",
    "LastUpdateDate": "03/29/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "28164648A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "71010794A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.