{
"Npi": {
"NPI": "1235790569",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CAHOON",
"FirstName": "EMMA",
"MiddleName": "KATHERINE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "PA-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FLAHERTY",
"OtherFirstName": "EMMA",
"OtherMiddleName": "KATHERINE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PA-C",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "25 WELLS ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WESTERLY",
"MailingAddressStateName": "RI",
"MailingAddressPostalCode": "02891-2922",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "401-596-8990",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "25 WELLS ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WESTERLY",
"PracticeLocationAddressStateName": "RI",
"PracticeLocationAddressPostalCode": "02891-2922",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "401-596-8990",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/26/2019",
"LastUpdateDate": "11/09/2021",
"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": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "CPA01152",
"LicenseNumberStateCode": "RI",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "5353",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "PA01152",
"LicenseNumberStateCode": "RI",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}