{
"Npi": {
"NPI": "1376320861",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WHIPPLE",
"FirstName": "HANNAH",
"MiddleName": "RUTH SIUDA",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SIUDA",
"OtherFirstName": "HANNAH",
"OtherMiddleName": "RUTH",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LPC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1315 LINDA LN APT 8",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOSCOW",
"MailingAddressStateName": "ID",
"MailingAddressPostalCode": "83843-2496",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "419 22ND AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LEWISTON",
"PracticeLocationAddressStateName": "ID",
"PracticeLocationAddressPostalCode": "83501-3812",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "208-743-9404",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/11/2023",
"LastUpdateDate": "09/11/2023",
"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": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "LPC-9581",
"LicenseNumberStateCode": "ID",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}