{
"Npi": {
"NPI": "1205547254",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CADY",
"FirstName": "SARA",
"MiddleName": "RENAE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MSW, CSW, ACT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KROONTJE",
"OtherFirstName": "SARA",
"OtherMiddleName": "RENAE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "BS",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "206 RILEY CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VALLEY SPRINGS",
"MailingAddressStateName": "SD",
"MailingAddressPostalCode": "57068-9323",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "605-201-3453",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "206 RILEY CIR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VALLEY SPRINGS",
"PracticeLocationAddressStateName": "SD",
"PracticeLocationAddressPostalCode": "57068-9323",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "605-201-3453",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/12/2022",
"LastUpdateDate": "12/12/2022",
"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": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": "6208",
"LicenseNumberStateCode": "SD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}