{
"Npi": {
"NPI": "1306196977",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MONROE",
"FirstName": "JODI",
"MiddleName": "K.",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "MS, CCC-SLP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PETERSON",
"OtherFirstName": "JODI",
"OtherMiddleName": "K.",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MS, CCC-SLP",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1900 DANIELS ST",
"SecondLineMailingAddress": "HOUGH SCHOOL",
"MailingAddressCityName": "VANCOUVER",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98660-2535",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-313-2100",
"MailingAddressFaxNumber": "360-313-2101",
"FirstLinePracticeLocationAddress": "1900 DANIELS ST",
"SecondLinePracticeLocationAddress": "HOUGH SCHOOL",
"PracticeLocationAddressCityName": "VANCOUVER",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98660-2535",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-313-2100",
"PracticeLocationAddressFaxNumber": "360-313-2101",
"EnumerationDate": "09/11/2012",
"LastUpdateDate": "02/17/2020",
"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": "235Z00000X",
"TaxonomyName": "Speech-Language Pathologist",
"LicenseNumber": "LL00003597",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}