{
"Npi": {
"NPI": "1134634249",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GRABOWSKI",
"FirstName": "ANDREA",
"MiddleName": "LEE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "APRN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MERCADO",
"OtherFirstName": "ANDREA",
"OtherMiddleName": "LEE",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "APRN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2506 SUNSET DRIVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW SMRYNA BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32168",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-281-0939",
"MailingAddressFaxNumber": "386-944-9746",
"FirstLinePracticeLocationAddress": "1129 N DIXIE FREEWAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW SMYRNA BEACH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32168",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "386-281-0939",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/12/2017",
"LastUpdateDate": "09/27/2023",
"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": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "RN9426002",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "ARNP9426002",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "APRN9426002",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}