{
"Npi": {
"NPI": "1063966737",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LOVVORN",
"FirstName": "HANNAH",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "PTA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "RICHARDSON",
"OtherFirstName": "HANNAH",
"OtherMiddleName": null,
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "ATC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 5629",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EVANSVILLE",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47716-5629",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-759-3001",
"MailingAddressFaxNumber": "812-401-9013",
"FirstLinePracticeLocationAddress": "4421 N 1ST AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EVANSVILLE",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47710-3621",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "812-759-3001",
"PracticeLocationAddressFaxNumber": "812-401-9013",
"EnumerationDate": "08/10/2016",
"LastUpdateDate": "08/10/2016",
"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": "225200000X",
"TaxonomyName": "Physical Therapy Assistant",
"LicenseNumber": "06005141A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}