{
"Npi": {
"NPI": "1275157703",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SHAPIRO",
"FirstName": "TIFFANY",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2127 N 600 E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTH OGDEN",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84414-2811",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-682-3494",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "707 24TH ST STE 1A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OGDEN",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84401-2580",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "801-475-5225",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/01/2020",
"LastUpdateDate": "02/07/2024",
"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": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "11775578-3501",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}