{
"Npi": {
"NPI": "1386214872",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TOTAL ACCESS SOLUTIONS",
"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": "1420 OWL RDG",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TEXARKANA",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "71854-0021",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "870-621-0080",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3809 E 9TH ST STE 15",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TEXARKANA",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "71854-5818",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "870-621-0080",
"PracticeLocationAddressFaxNumber": "870-621-0081",
"EnumerationDate": "06/28/2021",
"LastUpdateDate": "09/29/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NIX",
"AuthorizedOfficialFirstName": "SAM",
"AuthorizedOfficialMiddleName": "ALLEN",
"AuthorizedOfficialTitle": "PRESIDENT/FNP",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "FNP",
"AuthorizedOfficialTelephoneNumber": "870-621-0080",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}