{
"Npi": {
"NPI": "1043612229",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "JARNAGIN",
"FirstName": "LYNDSAY",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "COTA/L",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3706 NIMITZ RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KENSINGTON",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20895-1716",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "240-277-6670",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3706 NIMITZ RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KENSINGTON",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20895-1716",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "240-277-6670",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/19/2014",
"LastUpdateDate": "09/19/2014",
"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": "224Z00000X",
"TaxonomyName": "Occupational Therapy Assistant",
"LicenseNumber": "OTA100000262",
"LicenseNumberStateCode": "DC",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "224Z00000X",
"TaxonomyName": "Occupational Therapy Assistant",
"LicenseNumber": "A02067",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}