{
"Npi": {
"NPI": "1295724227",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MATHEWS",
"FirstName": "LESLEY",
"MiddleName": "ANN",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "MSN FNPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HILLMAN",
"OtherFirstName": "LESLEY",
"OtherMiddleName": "MATHEWS",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "RN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "207 E 23RD ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BALTIMORE",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21218-5810",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "210-326-6389",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "22 S. GREENE ST",
"SecondLinePracticeLocationAddress": "GREENEBAUM CANCER CENTER, STE 9-D",
"PracticeLocationAddressCityName": "BALTIMORE",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21201",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-328-7609",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/21/2005",
"LastUpdateDate": "08/02/2019",
"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": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "R211676",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "533575",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}