{
"Npi": {
"NPI": "1184722852",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KENNEY",
"FirstName": "ANNE",
"MiddleName": "ELIZABETH",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "NURSE PRACTITIONER",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7197 RICKETT RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRIGHTON",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48116-8249",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "517-881-2110",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1200 BYRON RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOWELL",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48843-1007",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "517-546-0200",
"PracticeLocationAddressFaxNumber": "517-546-4669",
"EnumerationDate": "09/20/2006",
"LastUpdateDate": "01/13/2015",
"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": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "4704208273",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}