{
"Npi": {
"NPI": "1306116215",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HALEY",
"FirstName": "CARIEN",
"MiddleName": "N",
"NamePrefix": "MISS",
"NameSuffix": null,
"Credential": "CEO",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "424 MARKET ST",
"SecondLineMailingAddress": "SUITE 101",
"MailingAddressCityName": "SUFFOLK",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23434-5200",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "757-934-1400",
"MailingAddressFaxNumber": "757-934-1404",
"FirstLinePracticeLocationAddress": "424 MARKET ST",
"SecondLinePracticeLocationAddress": "SUITE 101",
"PracticeLocationAddressCityName": "SUFFOLK",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23434-5200",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "757-934-1400",
"PracticeLocationAddressFaxNumber": "757-934-1404",
"EnumerationDate": "01/09/2012",
"LastUpdateDate": "01/09/2012",
"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": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HCO-12774",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}