{
"Npi": {
"NPI": "1235041856",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "JENSEN",
"FirstName": "KATHERINE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "M.S., CF-SLP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7063 RIVER PINE CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MECHANICSVILLE",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23111-5241",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "804-971-6198",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9211 FOREST HILL AVE STE 101",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RICHMOND",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23235-6877",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "804-924-4047",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/18/2026",
"LastUpdateDate": "09/18/2026",
"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": "235Z00000X",
"TaxonomyName": "Speech-Language Pathologist",
"LicenseNumber": "2204001898",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}