{
"Npi": {
"NPI": "1205133196",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WARREN",
"FirstName": "TISHA",
"MiddleName": "MARLENE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "APRN, FNP-BC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3600 FREDERICA ST.",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OWENSBORO",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "42301",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "270-684-0023",
"MailingAddressFaxNumber": "270-684-0065",
"FirstLinePracticeLocationAddress": "3600 FREDERICA ST",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "OWENSBORO",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "42301",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "270-684-0023",
"PracticeLocationAddressFaxNumber": "270-684-0065",
"EnumerationDate": "02/11/2011",
"LastUpdateDate": "05/14/2018",
"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": "3006838",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}