{
"Npi": {
"NPI": "1114305927",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WOODS",
"FirstName": "CYNTHIA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2548 CLAREMONT DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MENDOTA HEIGHTS",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55120-1725",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "469-274-3808",
"MailingAddressFaxNumber": "651-666-1649",
"FirstLinePracticeLocationAddress": "5565 BLAINE AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "INVER GROVE HEIGHTS",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55076-1238",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "888-286-4292",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/12/2015",
"LastUpdateDate": "05/15/2024",
"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": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "66530",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "DO-05240",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}