{
"Npi": {
"NPI": "1104027531",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SAMSON",
"FirstName": "AARON",
"MiddleName": "REUEL",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "BA-HIS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "14015 35TH AVE S",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TUKWILA",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98168-4009",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "253-332-3773",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "22024 MARINE VIEW DR S",
"SecondLinePracticeLocationAddress": "#102",
"PracticeLocationAddressCityName": "DES MOINES",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98198-6230",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "253-332-3773",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/31/2007",
"LastUpdateDate": "02/24/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "237700000X",
"TaxonomyName": "Hearing Instrument Specialist",
"LicenseNumber": "HA00004057",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "237700000X",
"TaxonomyName": "Hearing Instrument Specialist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}