{
"Npi": {
"NPI": "1033242292",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DRESDEN",
"FirstName": "GEORGE",
"MiddleName": "MARIE",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "CNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DRESDEN-RADER",
"OtherFirstName": "GEORGE",
"OtherMiddleName": "MARIE",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "700 HIGH ST NE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALBUQUERQUE",
"MailingAddressStateName": "NM",
"MailingAddressPostalCode": "87102-2565",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "505-224-4444",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4273 MONTGOMERY BLVD NE",
"SecondLinePracticeLocationAddress": "SUITE 200 EAST",
"PracticeLocationAddressCityName": "ALBUQUERQUE",
"PracticeLocationAddressStateName": "NM",
"PracticeLocationAddressPostalCode": "87109-6748",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "505-821-5992",
"PracticeLocationAddressFaxNumber": "505-821-6692",
"EnumerationDate": "03/14/2007",
"LastUpdateDate": "06/08/2023",
"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": "363LA2100X",
"TaxonomyName": "Acute Care Nurse Practitioner",
"LicenseNumber": "CNP00473",
"LicenseNumberStateCode": "NM",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "363LA2100X",
"TaxonomyName": "Acute Care Nurse Practitioner",
"LicenseNumber": "R25455",
"LicenseNumberStateCode": "NM",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}