{
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"FirstLineMailingAddress": "7829 E ROCKHILL ST STE 406",
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"MailingAddressCityName": "WICHITA",
"MailingAddressStateName": "KS",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "7829 E ROCKHILL ST STE 406",
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"PracticeLocationAddressCityName": "WICHITA",
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"EnumerationDate": "01/22/2009",
"LastUpdateDate": "06/23/2009",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TERRY",
"AuthorizedOfficialFirstName": "JANNIFER",
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"AuthorizedOfficialCredential": "RN",
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"Taxonomies": {
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"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
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}
}
}
}