{
"Npi": {
"NPI": "1306536537",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FELDMAN",
"FirstName": "YVETTE",
"MiddleName": "MICHELLE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RN, MSN, ACCNS-P",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1332 W SIX SHOOTER ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIDDLETON",
"MailingAddressStateName": "ID",
"MailingAddressPostalCode": "83644-6205",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-397-2560",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1332 W SIX SHOOTER ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MIDDLETON",
"PracticeLocationAddressStateName": "ID",
"PracticeLocationAddressPostalCode": "83644-6205",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "916-397-2560",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/10/2023",
"LastUpdateDate": "03/14/2025",
"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": "364SP0200X",
"TaxonomyName": "Pediatric Clinical Nurse Specialist",
"LicenseNumber": "4929",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "364SP0200X",
"TaxonomyName": "Pediatric Clinical Nurse Specialist",
"LicenseNumber": "69838",
"LicenseNumberStateCode": "ID",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "163WP0200X",
"TaxonomyName": "Pediatric Registered Nurse",
"LicenseNumber": "540077",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "163WP0200X",
"TaxonomyName": "Pediatric Registered Nurse",
"LicenseNumber": "69838",
"LicenseNumberStateCode": "ID",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}