{
"Npi": {
"NPI": "1205287323",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ARCHER INTERVENTIONS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "109 E FOREST AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HODGENVILLE",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "42748-1303",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "270-735-5715",
"MailingAddressFaxNumber": "270-358-0963",
"FirstLinePracticeLocationAddress": "109 E FOREST AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HODGENVILLE",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "42748-1303",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "270-735-5715",
"PracticeLocationAddressFaxNumber": "270-358-0963",
"EnumerationDate": "06/30/2016",
"LastUpdateDate": "06/30/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHERRARD",
"AuthorizedOfficialFirstName": "BRITT",
"AuthorizedOfficialMiddleName": "MARIE",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DI",
"AuthorizedOfficialTelephoneNumber": "270-735-5715",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "252Y00000X",
"TaxonomyName": "Early Intervention Provider Agency",
"LicenseNumber": "201126597",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}