{
"Npi": {
"NPI": "1225790801",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HULTIN",
"FirstName": "ELSA",
"MiddleName": "ANNIKA ELISABET",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LAC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "420 GREAT RD APT C2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ACTON",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01720-4053",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "775-233-1039",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9 CORNERSTONE SQ # 9H",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WESTFORD",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01886-1473",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "978-577-5440",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/11/2021",
"LastUpdateDate": "10/11/2021",
"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": "171100000X",
"TaxonomyName": "Acupuncturist",
"LicenseNumber": null,
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}