{
"Npi": {
"NPI": "1063564375",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MORAN",
"FirstName": "RUTH",
"MiddleName": "E.",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4540 MOCKERNUT LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EARLYSVILLE",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22936-9698",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "434-973-6449",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9105 STONY POINT DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RICHMOND",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23235-1999",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "804-521-8713",
"PracticeLocationAddressFaxNumber": "804-282-6567",
"EnumerationDate": "01/17/2007",
"LastUpdateDate": "10/21/2011",
"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": "2085B0100X",
"TaxonomyName": "Body Imaging Physician",
"LicenseNumber": "0101049596",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}