{
"Npi": {
"NPI": "1295178796",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VA MEDICAL 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": "16 CHARLES ST",
"SecondLineMailingAddress": "3RD FLOOR",
"MailingAddressCityName": "LINCOLN",
"MailingAddressStateName": "RI",
"MailingAddressPostalCode": "02865-1906",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "401-301-0076",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "16 CHARLES ST",
"SecondLinePracticeLocationAddress": "3RD FLOOR",
"PracticeLocationAddressCityName": "LINCOLN",
"PracticeLocationAddressStateName": "RI",
"PracticeLocationAddressPostalCode": "02865-1906",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "401-301-0076",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/15/2013",
"LastUpdateDate": "04/15/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STEVENSON",
"AuthorizedOfficialFirstName": "SARAH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "SOCIAL WORK CHIEF",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LICSW",
"AuthorizedOfficialTelephoneNumber": "401-273-7100",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "286500000X",
"TaxonomyName": "Military Hospital",
"LicenseNumber": "CSW01547",
"LicenseNumberStateCode": "RI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}