{
"Npi": {
"NPI": "1306978408",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "REAVES",
"FirstName": "JENNIFER",
"MiddleName": "L",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "APRN, CNM",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WHITE",
"OtherFirstName": "JENNIFER",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "RN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "5200 HARRY HINES BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75235-7709",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-590-8000",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3600 GASTON AVE",
"SecondLinePracticeLocationAddress": "WADLEY TOWER SUITE 1158",
"PracticeLocationAddressCityName": "DALLAS",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75246-1800",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "214-820-8585",
"PracticeLocationAddressFaxNumber": "214-820-8590",
"EnumerationDate": "03/12/2007",
"LastUpdateDate": "02/17/2016",
"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": "163WN0800X",
"TaxonomyName": "Neuroscience Registered Nurse",
"LicenseNumber": "651095",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "367A00000X",
"TaxonomyName": "Advanced Practice Midwife",
"LicenseNumber": "AP126308",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}