{
"Npi": {
"NPI": "1356836043",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PARR",
"FirstName": "KYLEE",
"MiddleName": "ELIZABETH",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "AUD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MCFARLIN",
"OtherFirstName": "KYLEE",
"OtherMiddleName": "ELIZABETH",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "71 WAUKEGAN RD STE 700",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKE BLUFF",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60044-1614",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-504-3300",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "71 WAUKEGAN RD STE 700",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKE BLUFF",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60044-1614",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-504-3300",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/26/2018",
"LastUpdateDate": "06/25/2021",
"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": "237600000X",
"TaxonomyName": "Audiologist-Hearing Aid Fitter",
"LicenseNumber": "087254",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "231H00000X",
"TaxonomyName": "Audiologist",
"LicenseNumber": "087030",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}