{
"Npi": {
"NPI": "1245644335",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "TAYLOR",
"FirstName": "KATHRYN",
"MiddleName": "MICHELLE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "ARRT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1216 CATHERINE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BURLESON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76028-0307",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "817-404-7653",
"MailingAddressFaxNumber": "817-447-1276",
"FirstLinePracticeLocationAddress": "6491 SOUTHWEST BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BENBROOK",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76132-2777",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "817-887-9750",
"PracticeLocationAddressFaxNumber": "817-887-9753",
"EnumerationDate": "06/17/2014",
"LastUpdateDate": "06/17/2014",
"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": "2085R0202X",
"TaxonomyName": "Diagnostic Radiology Physician",
"LicenseNumber": "340019",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2471M1202X",
"TaxonomyName": "Magnetic Resonance Imaging Radiologic Technologist",
"LicenseNumber": "340019",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}