{
"Npi": {
"NPI": "1164099701",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RUMBAUGH",
"FirstName": "NATALIE",
"MiddleName": "RENEE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BLACK",
"OtherFirstName": "NATALIE",
"OtherMiddleName": "RENEE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MD",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 650859",
"SecondLineMailingAddress": "DEPT 710",
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75265-0859",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "409-772-2222",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "301 UNIVERSITY BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GALVESTON",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77555-5302",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "409-747-5707",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/10/2021",
"LastUpdateDate": "11/09/2025",
"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": "207X00000X",
"TaxonomyName": "Orthopaedic Surgery Physician",
"LicenseNumber": "BP10076980",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}