{
"Npi": {
"NPI": "1154143071",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CARBINE",
"FirstName": "KILA",
"MiddleName": "MARIE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "407 NW 7TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GRIMES",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "50111-8786",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "515-418-6669",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1555 HULL AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DES MOINES",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "50316-1341",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "515-262-5639",
"PracticeLocationAddressFaxNumber": "515-645-2100",
"EnumerationDate": "10/30/2024",
"LastUpdateDate": "10/30/2024",
"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": "376K00000X",
"TaxonomyName": "Nurse's Aide",
"LicenseNumber": "304983",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}