{
"Npi": {
"NPI": "1134575327",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HECKMAN",
"FirstName": "ELIZABETH",
"MiddleName": "SAFFI",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "CRNA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HECKMAN",
"OtherFirstName": "ELIZABTH",
"OtherMiddleName": "SAFFI",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "ELIZABETH SAFFI",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "18 MERCHANT ST UNIT 111",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEBANON",
"MailingAddressStateName": "NH",
"MailingAddressPostalCode": "03766-3204",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-470-0804",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1 MEDICAL CENTER DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LEBANON",
"PracticeLocationAddressStateName": "NH",
"PracticeLocationAddressPostalCode": "03756-0001",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "650-603-5922",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/06/2016",
"LastUpdateDate": "05/10/2021",
"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": "367500000X",
"TaxonomyName": "Certified Registered Nurse Anesthetist",
"LicenseNumber": "084732",
"LicenseNumberStateCode": "NH",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "163W00000X",
"TaxonomyName": "Registered Nurse",
"LicenseNumber": "RN2263056",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}