{
"Npi": {
"NPI": "1124287271",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "NANDZIK",
"FirstName": "CATHERINE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DPM",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1768",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CICERO",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "13039-1768",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "315-243-1491",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4104 OLD VESTAL RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VESTAL",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "13850-3500",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "607-217-5668",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/04/2008",
"LastUpdateDate": "01/11/2021",
"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": "213ES0131X",
"TaxonomyName": "Foot Surgery Podiatrist",
"LicenseNumber": "N006378-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}