{
"Npi": {
"NPI": "1265163190",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BARGER",
"FirstName": "COURTNEY",
"MiddleName": "NICHOLE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CRNA, DNAP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "JOHNSON",
"OtherFirstName": "COURTNEY",
"OtherMiddleName": "NICHOLE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2138 NW 52ND ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TOPEKA",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66618-2203",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "785-554-7016",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1700 SW 7TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TOPEKA",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "66606-2489",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "785-295-8000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/21/2022",
"LastUpdateDate": "04/09/2025",
"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": "367500000X",
"TaxonomyName": "Certified Registered Nurse Anesthetist",
"LicenseNumber": "43-557996-032",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}