{
"Npi": {
"NPI": "1215491238",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "VANDELINDE",
"FirstName": "ERIN",
"MiddleName": "ELIZABETH",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CLC, IBCLC, LCCE",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7201 MOUNT CHESTNUT RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROANOKE",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "24018-7745",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "540-526-6180",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7201 MOUNT CHESTNUT RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROANOKE",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "24018-7745",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "540-526-6180",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/23/2019",
"LastUpdateDate": "10/27/2025",
"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": "174H00000X",
"TaxonomyName": "Health Educator",
"LicenseNumber": "18459",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "174N00000X",
"TaxonomyName": "Lactation Consultant (Non-RN)",
"LicenseNumber": "282392",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "174N00000X",
"TaxonomyName": "Lactation Consultant (Non-RN)",
"LicenseNumber": "L-132108",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}