{
"Npi": {
"NPI": "1205883477",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WOY GOULD",
"FirstName": "JESSICA",
"MiddleName": "FAE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PA-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WOY",
"OtherFirstName": "JESSICA",
"OtherMiddleName": "FAE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PA-C",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 944",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KEYSER",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "26726-0944",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "304-788-6462",
"MailingAddressFaxNumber": "304-788-6555",
"FirstLinePracticeLocationAddress": "RR 3 BOX 3267",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KEYSER",
"PracticeLocationAddressStateName": "WV",
"PracticeLocationAddressPostalCode": "26726-9422",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "304-788-6462",
"PracticeLocationAddressFaxNumber": "304-788-6555",
"EnumerationDate": "05/31/2006",
"LastUpdateDate": "08/21/2012",
"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": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "01035",
"LicenseNumberStateCode": "WV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}