{
"Npi": {
"NPI": "1366160087",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DAWN",
"FirstName": "TAYLOR",
"MiddleName": "ALANE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PA-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BAIRD",
"OtherFirstName": "TAYLOR",
"OtherMiddleName": "ALANE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "7208 267TH ST NW STE 102",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STANWOOD",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98292-6289",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-705-2331",
"MailingAddressFaxNumber": "503-224-1731",
"FirstLinePracticeLocationAddress": "7208 267TH ST NW STE 102",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STANWOOD",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98292-6289",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "503-705-2331",
"PracticeLocationAddressFaxNumber": "503-224-1731",
"EnumerationDate": "08/18/2022",
"LastUpdateDate": "12/24/2025",
"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": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "PA61494036",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207N00000X",
"TaxonomyName": "Dermatology Physician",
"LicenseNumber": "PA61494036",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}