{
"Npi": {
"NPI": "1013861939",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BLESKEY",
"FirstName": "ANDREA",
"MiddleName": "LEE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "EBERSPACHER",
"OtherFirstName": "ANDREA",
"OtherMiddleName": "LEE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MS",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "17031 DEPAUL ST NE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COLUMBUS",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55025-2833",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "651-982-8361",
"MailingAddressFaxNumber": "651-982-8375",
"FirstLinePracticeLocationAddress": "17031 DEPAUL ST NE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COLUMBUS",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55025-2833",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "651-982-8361",
"PracticeLocationAddressFaxNumber": "651-982-8375",
"EnumerationDate": "02/26/2026",
"LastUpdateDate": "02/26/2026",
"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": "235Z00000X",
"TaxonomyName": "Speech-Language Pathologist",
"LicenseNumber": "422869",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}