{
"Npi": {
"NPI": "1063251460",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WINEGAR",
"FirstName": "HEIDI",
"MiddleName": "AASE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MSN, APRN, AGACNP-BC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4331 W 9580 S",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SOUTH JORDAN",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84009-9646",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-856-4982",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1250 E 3900 S STE 440",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SLC",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84124-1349",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "801-869-4100",
"PracticeLocationAddressFaxNumber": "801-869-4119",
"EnumerationDate": "05/23/2024",
"LastUpdateDate": "05/28/2024",
"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": "6158919-4405",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}