{
"Npi": {
"NPI": "1194950253",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "TEDOLDI",
"FirstName": "MICHELLE",
"MiddleName": "ANNETTE",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "RN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "TEDOLDI",
"OtherFirstName": "MICHELLE",
"OtherMiddleName": "ANNETTE",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "R.N.",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "36 WHITTIER MEADOWS DRIVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AMESBURY",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01913",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "978-457-0038",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "36 WHITTIER MEADOWS DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AMESBURY",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01913-5738",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "978-457-0038",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/19/2009",
"LastUpdateDate": "05/19/2009",
"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": "163W00000X",
"TaxonomyName": "Registered Nurse",
"LicenseNumber": "256496",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}