{
"Npi": {
"NPI": "1386069284",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CONNIE MORRIS, CRNP, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "13106 WINCHESTER RD SW STE 100",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAVALE",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21502-6035",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "240-362-7249",
"MailingAddressFaxNumber": "240-362-7285",
"FirstLinePracticeLocationAddress": "13106 WINCHESTER RD SW STE 100",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAVALE",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21502-6035",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "240-362-7249",
"PracticeLocationAddressFaxNumber": "240-362-7285",
"EnumerationDate": "02/28/2014",
"LastUpdateDate": "02/28/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MORRIS",
"AuthorizedOfficialFirstName": "CONNIE",
"AuthorizedOfficialMiddleName": "JO",
"AuthorizedOfficialTitle": "OWNER/FAMILY NURSE PRACTITIONER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CRNP",
"AuthorizedOfficialTelephoneNumber": "240-362-7249",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "R088399",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}