{
"Npi": {
"NPI": "1376912303",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ENGLER",
"FirstName": "VICTORIA",
"MiddleName": "ELIZABETH MARIE",
"NamePrefix": "MISS",
"NameSuffix": null,
"Credential": "FNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "GOODRICH",
"OtherFirstName": "VICTORIA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "FNP",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "40 S CHENANGO ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREENE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "13778-1232",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "607-765-6800",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1290 UPPER FRONT ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BINGHAMTON",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "13901-1046",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "607-722-3714",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/21/2015",
"LastUpdateDate": "05/27/2025",
"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": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "SP015561",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LX0001X",
"TaxonomyName": "Obstetrics & Gynecology Nurse Practitioner",
"LicenseNumber": "SP015561",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "339892",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}