{
"Npi": {
"NPI": "1255901112",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MCGREGORY",
"FirstName": "JANAY",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "COSMETOLOGIST",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CLAIR",
"OtherFirstName": "JANAY",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "22332 GOVERNORS HWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RICHTON PARK",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60471-4456",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-855-1715",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5022 THOMAS DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RICHTON PARK",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60471-1638",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-855-1715",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/01/2021",
"LastUpdateDate": "07/01/2021",
"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": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "332BC3200X",
"TaxonomyName": "Customized Equipment (DME)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}