{
"Npi": {
"NPI": "1124932892",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PURSUIT HEALTH LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4812 26TH ST W",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRADENTON",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34207-1705",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "941-961-2067",
"MailingAddressFaxNumber": "941-265-6464",
"FirstLinePracticeLocationAddress": "4812 26TH ST W",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRADENTON",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34207-1705",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "941-961-2067",
"PracticeLocationAddressFaxNumber": "941-265-6464",
"EnumerationDate": "09/30/2026",
"LastUpdateDate": "09/30/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STEPHENS",
"AuthorizedOfficialFirstName": "ALEXANDER",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "856-899-9910",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LP2300X",
"TaxonomyName": "Primary Care Nurse Practitioner",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}