{
"Npi": {
"NPI": "1346893641",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "VEETTIL",
"FirstName": "SINDHU",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "FFNP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SURENDRAN",
"OtherFirstName": "SINDHU",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "5524 SUNDANCE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "THE COLONY",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75056-3848",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-312-5185",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "399 MELROSE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RICHARDSON",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75080-4415",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "214-368-4132",
"PracticeLocationAddressFaxNumber": "833-904-0089",
"EnumerationDate": "07/17/2019",
"LastUpdateDate": "12/01/2023",
"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": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "AP140968",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}