{
"Npi": {
"NPI": "1043176936",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AIP, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "23920 229TH PL SE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MAPLE VALLEY",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98038-5051",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-830-8729",
"MailingAddressFaxNumber": "567-209-5877",
"FirstLinePracticeLocationAddress": "5520 BRIDGEPORT WAY W",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "UNIVERSITY PLACE",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98467-2041",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "253-566-7166",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/05/2026",
"LastUpdateDate": "01/05/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "POGHEN",
"AuthorizedOfficialFirstName": "ALYSSA",
"AuthorizedOfficialMiddleName": "IWAI",
"AuthorizedOfficialTitle": "BUSINESS OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "NP",
"AuthorizedOfficialTelephoneNumber": "206-830-8729",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LA2100X",
"TaxonomyName": "Acute Care Nurse Practitioner",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}