{
"Npi": {
"NPI": "1295277325",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SILVA",
"FirstName": "COLLEEN",
"MiddleName": "M",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LPN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KROFT",
"OtherFirstName": "COLLEEN",
"OtherMiddleName": "M",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LPN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "7216 66TH AVE W",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKEWOOD",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98499-8327",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "253-983-0959",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9040 JACKSON AVE, ATTN: MCHJ-CLQ-C",
"SecondLinePracticeLocationAddress": "MADIGAN ARMY MEDICAL CENTER",
"PracticeLocationAddressCityName": "TACOMA",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98341-1100",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "253-651-4416",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/07/2016",
"LastUpdateDate": "11/07/2016",
"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": "164W00000X",
"TaxonomyName": "Licensed Practical Nurse",
"LicenseNumber": "LP00046178",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}