{
"Npi": {
"NPI": "1245295435",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ZAHRA",
"FirstName": "MICHELLE",
"MiddleName": "A.",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "P.A.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "NIELSEN",
"OtherFirstName": "MICHELLE",
"OtherMiddleName": "A",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "PA",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "259 1ST ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MINEOLA",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11501-3957",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-663-3833",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "259 1ST ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MINEOLA",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11501-3957",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-663-3833",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/19/2006",
"LastUpdateDate": "05/16/2011",
"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": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "010583",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}