{
"Npi": {
"NPI": "1215250212",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RUST-HUERTA",
"FirstName": "JUDY",
"MiddleName": "ELLEN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LISW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 23",
"SecondLineMailingAddress": "1100 SOARING EAGLE CT.",
"MailingAddressCityName": "CHROMO",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "81128-0023",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "970-264-9203",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "610 ALTA VISTA ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SANTA FE",
"PracticeLocationAddressStateName": "NM",
"PracticeLocationAddressPostalCode": "87505-4149",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "505-467-2504",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/04/2010",
"LastUpdateDate": "03/04/2010",
"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": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "I-07020",
"LicenseNumberStateCode": "NM",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "1041S0200X",
"TaxonomyName": "School Social Worker",
"LicenseNumber": "328987",
"LicenseNumberStateCode": "NM",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}