{
"Npi": {
"NPI": "1144951153",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FELTMAN",
"FirstName": "EMILY",
"MiddleName": "DIANNE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "FNP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "32 COUNTY ROAD 55",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TISHOMINGO",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "38873-9108",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "662-279-0829",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8 INDUSTRIAL DRIVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BURNSVILLE",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "38833",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "662-593-7130",
"PracticeLocationAddressFaxNumber": "662-593-7131",
"EnumerationDate": "06/21/2022",
"LastUpdateDate": "10/13/2022",
"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": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "905132",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}