{
"Npi": {
"NPI": "1245808526",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RASMUSSEN",
"FirstName": "KATHLENE",
"MiddleName": "REBECCA",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "APRN-NP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SUKUP AND SIEVERS",
"OtherFirstName": "KATHLENE",
"OtherMiddleName": "REBECCA",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "RN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "55409 859TH RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PIERCE",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "68767-4081",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "402-928-0709",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1700 MARKET LN STE 410",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORFOLK",
"PracticeLocationAddressStateName": "NE",
"PracticeLocationAddressPostalCode": "68701-7368",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "402-370-9515",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/14/2021",
"LastUpdateDate": "06/14/2021",
"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": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "113602",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}