{
"Npi": {
"NPI": "1255031365",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "COLLETT",
"FirstName": "MEGAN",
"MiddleName": "LINDSAY",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "RN, FNP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7153 COTTAGE CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TIMNATH",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80547-2314",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "970-397-7484",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "221 E 29TH ST STE 102",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LOVELAND",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80538-2746",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "970-624-5170",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/07/2023",
"LastUpdateDate": "03/15/2023",
"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": "0998501",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}