{
"Npi": {
"NPI": "1023077260",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "X",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "THURSTON",
"FirstName": "PEGGY",
"MiddleName": "S",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "CPNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MCCAY",
"OtherFirstName": "PEGGY",
"OtherMiddleName": "S",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "CPNP",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "10400 EATON PLACE",
"SecondLineMailingAddress": "410",
"MailingAddressCityName": "FAIRFAX",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22030",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-359-5160",
"MailingAddressFaxNumber": "703-383-9574",
"FirstLinePracticeLocationAddress": "410 MAPLE AVE W",
"SecondLinePracticeLocationAddress": "5",
"PracticeLocationAddressCityName": "VIENNA",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22180",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-938-2244",
"PracticeLocationAddressFaxNumber": "703-938-3669",
"EnumerationDate": "03/17/2006",
"LastUpdateDate": "07/08/2007",
"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": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "0024164153",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}