{
"Npi": {
"NPI": "1083881031",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CARR",
"FirstName": "TERRY",
"MiddleName": "L",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "D.O.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "160 TWIN FAWN TRL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PARKERSBURG",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "26104-8462",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "304-464-8187",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "401 MATTHEW ST",
"SecondLinePracticeLocationAddress": "EMERGENCY DEPARTMENT",
"PracticeLocationAddressCityName": "MARIETTA",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45750-1635",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "740-376-1939",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/09/2008",
"LastUpdateDate": "04/20/2022",
"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": "207P00000X",
"TaxonomyName": "Emergency Medicine Physician",
"LicenseNumber": "34.009282",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}