{
"Npi": {
"NPI": "1295331254",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "NASH",
"FirstName": "RASHEEDAH",
"MiddleName": "MUNEERAH",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PEGUES",
"OtherFirstName": "RASHEEDAH",
"OtherMiddleName": "MUNEERAH",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "4530 COLLINS RD APT 4104",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LANSING",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48910-8437",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2111 UNIVERSITY PARK DR STE 400",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OKEMOS",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48864-6907",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "517-512-5289",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/07/2020",
"LastUpdateDate": "05/21/2025",
"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": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": "6801120134",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}