{
"Npi": {
"NPI": "1144478926",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LEVY",
"FirstName": "DEANNA",
"MiddleName": "L",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "AU.D, CCC-A",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "660 WHITE PLAINS RD FL 4",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TARRYTOWN",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10591-5139",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-984-2552",
"MailingAddressFaxNumber": "914-425-0481",
"FirstLinePracticeLocationAddress": "627 BROADWAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MASSAPEQUA",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11758-5031",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-541-4171",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/04/2008",
"LastUpdateDate": "06/24/2022",
"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": "231H00000X",
"TaxonomyName": "Audiologist",
"LicenseNumber": "002143-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}