{
"Npi": {
"NPI": "1023814712",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KOM",
"FirstName": "AMANDA",
"MiddleName": "CHRISTINA",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MURAWSKI",
"OtherFirstName": "AMANDA",
"OtherMiddleName": "CHRISTINA",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "RN, BSN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "4097 SPYGLASS HL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MASON",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45040-3304",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "513-310-5346",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4097 SPYGLASS HL",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MASON",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45040-3304",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "513-310-5346",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/22/2025",
"LastUpdateDate": "02/22/2025",
"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": "163WH0200X",
"TaxonomyName": "Home Health Registered Nurse",
"LicenseNumber": "424087",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}