{
"Npi": {
"NPI": "1376929968",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KESSLER",
"FirstName": "KRISTINA",
"MiddleName": "M",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "PA-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SAWATZKE",
"OtherFirstName": "KRISTINA",
"OtherMiddleName": "M",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "PA-C",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1700 HIGHWAY 25 N",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BUFFALO",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55313-1930",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": "763-581-9090",
"FirstLinePracticeLocationAddress": "1700 HIGHWAY 25 N",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BUFFALO",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55313-1930",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "763-682-1313",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/05/2015",
"LastUpdateDate": "03/17/2022",
"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": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "2313",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}