{
"Npi": {
"NPI": "1134325020",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "YUTANI",
"FirstName": "LYNELLE",
"MiddleName": "TOMIKO",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "RPA, RA, RT, CNMT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1357",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DOUGLAS",
"MailingAddressStateName": "WY",
"MailingAddressPostalCode": "82633-1357",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "675 10TH AVE W",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VANCOUVER",
"PracticeLocationAddressStateName": "BC",
"PracticeLocationAddressPostalCode": "V5Z 1L3",
"PracticeLocationAddressCountryCode": "CA",
"PracticeLocationAddressTelephoneNumber": "604-877-6000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/26/2007",
"LastUpdateDate": "11/23/2011",
"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": "246Z00000X",
"TaxonomyName": "Other Specialist/Technologist",
"LicenseNumber": "GN0835-99",
"LicenseNumberStateCode": "WY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "247100000X",
"TaxonomyName": "Radiologic Technologist",
"LicenseNumber": "GN0835-99",
"LicenseNumberStateCode": "WY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2471C3401X",
"TaxonomyName": "Computed Tomography Radiologic Technologist",
"LicenseNumber": "GN0835-99",
"LicenseNumberStateCode": "WY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2471C3402X",
"TaxonomyName": "Radiography Radiologic Technologist",
"LicenseNumber": "GN0835-99",
"LicenseNumberStateCode": "WY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2471N0900X",
"TaxonomyName": "Nuclear Medicine Technology Radiologic Technologist",
"LicenseNumber": "GN0835-99",
"LicenseNumberStateCode": "WY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "243U00000X",
"TaxonomyName": "Radiology Practitioner Assistant",
"LicenseNumber": "GN- 835-99",
"LicenseNumberStateCode": "WY",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "2471M2300X",
"TaxonomyName": "Mammography Radiologic Technologist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}