{
"Npi": {
"NPI": "1053951004",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HASSAN-DAVIS",
"FirstName": "AISHA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PMHNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HASSAN-DAVIS",
"OtherFirstName": "AISHA",
"OtherMiddleName": null,
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "PMHNP",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "564 COLDWATER DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CLAYTON",
"MailingAddressStateName": "DE",
"MailingAddressPostalCode": "19938-3905",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-855-4664",
"MailingAddressFaxNumber": "855-461-3481",
"FirstLinePracticeLocationAddress": "8707 COMMERCE DR STE E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EASTON",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21601-6910",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-855-4664",
"PracticeLocationAddressFaxNumber": "855-461-3481",
"EnumerationDate": "01/07/2020",
"LastUpdateDate": "05/05/2025",
"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": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "AC003812",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "L1-0038946",
"LicenseNumberStateCode": "DE",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "L8-0000200",
"LicenseNumberStateCode": "DE",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "AC002974",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}