{
"Npi": {
"NPI": "1245667245",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "COLON",
"FirstName": "CASSANDRA",
"MiddleName": "F",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SEGARRA",
"OtherFirstName": "CASSANDRA",
"OtherMiddleName": "F",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PCP",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "26901 76TH AVE",
"SecondLineMailingAddress": "SUITE 255",
"MailingAddressCityName": "NEW HYDE PARK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11040-1433",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "917-627-8628",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "26901 76TH AVE",
"SecondLinePracticeLocationAddress": "SUITE 255",
"PracticeLocationAddressCityName": "NEW HYDE PARK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11040-1433",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "917-627-8628",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/04/2013",
"LastUpdateDate": "04/20/2016",
"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": "363LP0200X",
"TaxonomyName": "Pediatric Nurse Practitioner",
"LicenseNumber": "F382376-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}