{
"Npi": {
"NPI": "1023354719",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ABEBE",
"FirstName": "TIRSIT",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "REGISTERED NURSE",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7654 FALLSWOOD WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LORTON",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22079-1728",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-550-5559",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7654 FALLSWOOD WAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LORTON",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22079-1728",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-550-5559",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/27/2012",
"LastUpdateDate": "12/27/2012",
"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": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "1249913",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "163W00000X",
"TaxonomyName": "Registered Nurse",
"LicenseNumber": "0001196736",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "253J00000X",
"TaxonomyName": "Foster Care Agency",
"LicenseNumber": "0001196736",
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}