{
"Npi": {
"NPI": "1386212124",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DAMBOISE",
"FirstName": "APRIL",
"MiddleName": "JEAN",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "CNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SOOKMA",
"OtherFirstName": "APRIL",
"OtherMiddleName": "JEAN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "627 SABATTUS ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEWISTON",
"MailingAddressStateName": "ME",
"MailingAddressPostalCode": "04240-4121",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "207-485-1941",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "442 CIVIC CENTER DR STE 500",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AUGUSTA",
"PracticeLocationAddressStateName": "ME",
"PracticeLocationAddressPostalCode": "04330-8574",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "207-624-4800",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/17/2021",
"LastUpdateDate": "06/17/2021",
"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": "CNP211173",
"LicenseNumberStateCode": "ME",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}