{
"Npi": {
"NPI": "1376334896",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "COONEY",
"FirstName": "JESSICA",
"MiddleName": "MARIE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "OTR/L",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CARPENTER",
"OtherFirstName": "JESSICA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "OTR/L",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2101 LESLIE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DENTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76205-5903",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "281-543-4205",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5575 WARREN PKWY STE 106",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FRISCO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75034-4066",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "469-840-9670",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/14/2025",
"LastUpdateDate": "05/14/2025",
"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": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "119094",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}