{
"Npi": {
"NPI": "1275627226",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CUNNINGHAM",
"FirstName": "BONNIE",
"MiddleName": "L",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "APRN,BC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MARSH",
"OtherFirstName": "BONNIE",
"OtherMiddleName": "L",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "APRN,BC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "18947 JOHN J WILLIAMS HWY UNIT 210",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "REHOBOTH BEACH",
"MailingAddressStateName": "DE",
"MailingAddressPostalCode": "19971-4476",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "302-645-3121",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "18947 JOHN J WILLIAMS HWY UNIT 210",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "REHOBOTH BEACH",
"PracticeLocationAddressStateName": "DE",
"PracticeLocationAddressPostalCode": "19971-4476",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "302-645-3121",
"PracticeLocationAddressFaxNumber": "302-645-3428",
"EnumerationDate": "10/03/2006",
"LastUpdateDate": "09/03/2019",
"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": "364S00000X",
"TaxonomyName": "Clinical Nurse Specialist",
"LicenseNumber": "LC-0000108",
"LicenseNumberStateCode": "DE",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "364S00000X",
"TaxonomyName": "Clinical Nurse Specialist",
"LicenseNumber": "LC 0000108",
"LicenseNumberStateCode": "DE",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}