{
"Npi": {
"NPI": "1336344001",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "THORSON",
"FirstName": "SADIE",
"MiddleName": "MARIE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "RAUSENBERGER",
"OtherFirstName": "SADIE",
"OtherMiddleName": "MARIE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "DC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3633 WINDTREE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EAGAN",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55123-1319",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "651-955-1083",
"MailingAddressFaxNumber": "651-955-1083",
"FirstLinePracticeLocationAddress": "2115 COUNTY ROAD D E STE B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAINT PAUL",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55109-5353",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "651-955-1083",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/20/2007",
"LastUpdateDate": "03/29/2022",
"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": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "CH00034776",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}