{
"Npi": {
"NPI": "1265164354",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BUHARI",
"FirstName": "JELILAT",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BUHARI",
"OtherFirstName": "JELILAT",
"OtherMiddleName": "OMOWUMI",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "PMHNP",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "3018 KENNA CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIDLOTHIAN",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76065-2676",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "773-715-6841",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1011 N COOPER ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ARLINGTON",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76011-5517",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "773-715-6841",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/27/2022",
"LastUpdateDate": "09/18/2024",
"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": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "1071141",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}