{
"Npi": {
"NPI": "1275602591",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHARTERED FAMILY HELATH CENTER",
"LastName": null,
"FirstName": null,
"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": "14815 CROSS RIVER CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BURTONSVILLE",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20866-3105",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "202-698-7342",
"MailingAddressFaxNumber": "202-698-7028",
"FirstLinePracticeLocationAddress": "3924 MINNESOTA AVE NE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WASHINGTON",
"PracticeLocationAddressStateName": "DC",
"PracticeLocationAddressPostalCode": "20019-2661",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "202-398-8683",
"PracticeLocationAddressFaxNumber": "202-627-7806",
"EnumerationDate": "11/08/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALLEYNE",
"AuthorizedOfficialFirstName": "MARIA",
"AuthorizedOfficialMiddleName": "HEGAR",
"AuthorizedOfficialTitle": "NURSE PRACTITIONER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CPNP",
"AuthorizedOfficialTelephoneNumber": "202-398-8683",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "363L00000X",
"LicenseNumberStateCode": "DC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}