{
"Npi": {
"NPI": "1225162076",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GERNON",
"FirstName": "KRISTIN",
"MiddleName": "LEA",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "L.M.S.W.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "OLSON",
"OtherFirstName": "KRISTIN",
"OtherMiddleName": "LEA GERNON",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "L.M.S.W.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "4130 OAK ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KANSAS CITY",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "64111-1615",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "646-752-4054",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1223 MEADOWLARK LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KANSAS CITY",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "66102-1258",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "913-890-7567",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/15/2007",
"LastUpdateDate": "01/07/2011",
"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": "6220",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}