{
"Npi": {
"NPI": "1356178081",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FINN",
"FirstName": "CHELSEA",
"MiddleName": "L",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "FNP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SANCHEZ",
"OtherFirstName": "CHELSEA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "30 COCHISE ROW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BISBEE",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85603-1124",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "520-559-4050",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10524 E HIGHWAY 92",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HEREFORD",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85615-8371",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "520-366-0300",
"PracticeLocationAddressFaxNumber": "520-366-0440",
"EnumerationDate": "09/17/2024",
"LastUpdateDate": "12/20/2024",
"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": "313902",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}