1972781474 NPI number — JILL SUZANNE NIX A.P.R.N.

NPI Number: 1972781474
Health Care Provider/Practitioner: JILL SUZANNE NIX A.P.R.N.

NPI Number : 1972781474 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972781474",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NIX",
    "FirstName": "JILL",
    "MiddleName": "SUZANNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "A.P.R.N.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4912 US HIGHWAY 42",
    "SecondLineMailingAddress": "SUITE 208",
    "MailingAddressCityName": "LOUISVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40222-6349",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-426-9565",
    "MailingAddressFaxNumber": "502-425-3240",
    "FirstLinePracticeLocationAddress": "4912 US HIGHWAY 42",
    "SecondLinePracticeLocationAddress": "SUITE 208",
    "PracticeLocationAddressCityName": "LOUISVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40222-6349",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-426-9565",
    "PracticeLocationAddressFaxNumber": "502-425-3240",
    "EnumerationDate": "02/06/2008",
    "LastUpdateDate": "03/30/2012",
    "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": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "5475P",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "3005475",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}