{
"Npi": {
"NPI": "1376719161",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KLEINBERG",
"FirstName": "LOREEN",
"MiddleName": "ANN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "M.S.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "JONES",
"OtherFirstName": "LOREEN",
"OtherMiddleName": "ANN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "M.S.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "8292 S VIA DEL BARQUERO",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TUCSON",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85747-9125",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "520-975-6057",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "13801 E BENSON HWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VAIL",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85641-9074",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "520-879-2000",
"PracticeLocationAddressFaxNumber": "520-879-2001",
"EnumerationDate": "05/01/2008",
"LastUpdateDate": "02/17/2010",
"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": "235Z00000X",
"TaxonomyName": "Speech-Language Pathologist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}