{
"Npi": {
"NPI": "1275353088",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "COOPER",
"FirstName": "LAKIESHA",
"MiddleName": "STACI-LEE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MPH, BIRTH DOULA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "744 E PEPPER DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CASA GRANDE",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85122-2811",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "602-456-9329",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "744 E PEPPER DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CASA GRANDE",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85122-2811",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "602-456-9329",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/15/2024",
"LastUpdateDate": "10/15/2024",
"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": "374J00000X",
"TaxonomyName": "Doula",
"LicenseNumber": null,
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}