{
"Npi": {
"NPI": "1376011759",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ANN GIEDD, PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 183",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EATON CENTER",
"MailingAddressStateName": "NH",
"MailingAddressPostalCode": "03832-0183",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "404-422-6231",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "413 STEWART RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EATON CENTER",
"PracticeLocationAddressStateName": "NH",
"PracticeLocationAddressPostalCode": "03832-0183",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "404-422-6231",
"PracticeLocationAddressFaxNumber": "603-452-7960",
"EnumerationDate": "11/05/2018",
"LastUpdateDate": "06/11/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GIEDD",
"AuthorizedOfficialFirstName": "ANN MARIE",
"AuthorizedOfficialMiddleName": "B",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "FNP",
"AuthorizedOfficialTelephoneNumber": "404-422-6231",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}