{
"Npi": {
"NPI": "1164962742",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BAYONNE",
"FirstName": "MELINDA",
"MiddleName": "S",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "OT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SANDERS",
"OtherFirstName": "MELINDA",
"OtherMiddleName": "MARIE",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "OT",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "224 PECAN PARK AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALEXANDRIA",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "71303-3308",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "318-427-7852",
"MailingAddressFaxNumber": "318-443-5372",
"FirstLinePracticeLocationAddress": "224 PECAN PARK AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ALEXANDRIA",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "71303-3308",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "318-427-7852",
"PracticeLocationAddressFaxNumber": "318-443-5372",
"EnumerationDate": "03/02/2017",
"LastUpdateDate": "04/11/2017",
"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": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "OTT.Z11192",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}