{
"Npi": {
"NPI": "1245419951",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BUXA",
"FirstName": "DEBORAH",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "FNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MERTZ",
"OtherFirstName": "DEBORAH",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "317 BREWSTER ST E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HARVEY",
"MailingAddressStateName": "ND",
"MailingAddressPostalCode": "58341-1653",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "701-324-5131",
"MailingAddressFaxNumber": "701-324-5126",
"FirstLinePracticeLocationAddress": "317 BREWSTER ST E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HARVEY",
"PracticeLocationAddressStateName": "ND",
"PracticeLocationAddressPostalCode": "58341",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "701-324-5131",
"PracticeLocationAddressFaxNumber": "701-324-5126",
"EnumerationDate": "10/30/2007",
"LastUpdateDate": "03/07/2023",
"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": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "R28181",
"LicenseNumberStateCode": "ND",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}