{
"Npi": {
"NPI": "1346465424",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HEFFRON",
"FirstName": "JANIS",
"MiddleName": "FAITH",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "ED.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1310 CHOCKASACKA NENE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TALLAHASSEE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32301-5810",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "850-544-4505",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1317 WINEWOOD BLVD STE 6 ROOM 213",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TALLAHASSEE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32399-6570",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "850-487-2902",
"PracticeLocationAddressFaxNumber": "850-921-5830",
"EnumerationDate": "04/16/2007",
"LastUpdateDate": "07/08/2007",
"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": "103TP0016X",
"TaxonomyName": "Prescribing (Medical) Psychologist",
"LicenseNumber": "PY0002748",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}