{
"Npi": {
"NPI": "1154688190",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CHAO",
"FirstName": "RACHEL",
"MiddleName": "ERIN",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "ED.D., CCC-SLP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DROSSMAN",
"OtherFirstName": "RACHEL",
"OtherMiddleName": "ERIN",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "MS, CCC-SLP",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 108",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MAPLE VALLEY",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98038-0108",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "425-521-9024",
"MailingAddressFaxNumber": "425-657-0691",
"FirstLinePracticeLocationAddress": "4509 TALBOT RD S STE 105C",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RENTON",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98055-6294",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "425-521-9024",
"PracticeLocationAddressFaxNumber": "425-529-9211",
"EnumerationDate": "04/16/2012",
"LastUpdateDate": "04/07/2021",
"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": "235Z00000X",
"TaxonomyName": "Speech-Language Pathologist",
"LicenseNumber": "LL60273420",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}