{
"Npi": {
"NPI": "1023064169",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SIEGLE",
"FirstName": "JENNIFER",
"MiddleName": "M",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "RN, CPNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "159 PORTSMOUTH CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GLEN MILLS",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19342-2601",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-590-4075",
"MailingAddressFaxNumber": "215-590-9045",
"FirstLinePracticeLocationAddress": "3400 CIVIC CENTER BLVD",
"SecondLinePracticeLocationAddress": "5TH FLOOR WOOD BUILDING",
"PracticeLocationAddressCityName": "PHILADELPHIA",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19104-4306",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-590-4075",
"PracticeLocationAddressFaxNumber": "215-590-9045",
"EnumerationDate": "05/26/2006",
"LastUpdateDate": "07/23/2007",
"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": "363LP0200X",
"TaxonomyName": "Pediatric Nurse Practitioner",
"LicenseNumber": "RN-517973-L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}