{
"Npi": {
"NPI": "1265861173",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "COLTON",
"FirstName": "MICHELLE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SUTTER",
"OtherFirstName": "MICHELLE",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "BSN, RN.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1108 S VAN DYKE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BAD AXE",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48413-9615",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "989-269-9293",
"MailingAddressFaxNumber": "989-269-7544",
"FirstLinePracticeLocationAddress": "1108 S VAN DYKE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BAD AXE",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48413-9615",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "989-269-9293",
"PracticeLocationAddressFaxNumber": "989-269-7544",
"EnumerationDate": "11/01/2013",
"LastUpdateDate": "11/01/2013",
"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": "163W00000X",
"TaxonomyName": "Registered Nurse",
"LicenseNumber": "4704255614",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}