{
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"EIN": null,
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"FirstLineMailingAddress": "577 E ELDER ST STE H",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FALLBROOK",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92028-3079",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-645-3447",
"MailingAddressFaxNumber": "951-200-4396",
"FirstLinePracticeLocationAddress": "577 E ELDER ST STE H",
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"PracticeLocationAddressCityName": "FALLBROOK",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-645-3447",
"PracticeLocationAddressFaxNumber": "951-200-4396",
"EnumerationDate": "02/18/2019",
"LastUpdateDate": "02/18/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Midwife",
"LicenseNumber": "557",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}