{
"Npi": {
"NPI": "1083959621",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MENDYKOWSKI",
"FirstName": "ALICE",
"MiddleName": "DEUTSCH",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "APRN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DEUTSCH",
"OtherFirstName": "ALICE",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "46-078 EMEPELA PL APT J201",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KANEOHE",
"MailingAddressStateName": "HI",
"MailingAddressPostalCode": "96744-3960",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "805-404-4859",
"MailingAddressFaxNumber": "808-263-5054",
"FirstLinePracticeLocationAddress": "30 AULIKE ST STE 300",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KAILUA",
"PracticeLocationAddressStateName": "HI",
"PracticeLocationAddressPostalCode": "96734-2751",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "808-263-5015",
"PracticeLocationAddressFaxNumber": "808-263-5015",
"EnumerationDate": "12/08/2012",
"LastUpdateDate": "12/17/2025",
"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": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "APRN-1522",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "1522",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}