{
"Npi": {
"NPI": "1386653343",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "VANNIEUWENHUIZE",
"FirstName": "MICHELLE",
"MiddleName": "C.",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6 BLACKSTONE VALLEY PL",
"SecondLineMailingAddress": "BUILDING #3 SUITE 305",
"MailingAddressCityName": "LINCOLN",
"MailingAddressStateName": "RI",
"MailingAddressPostalCode": "02865-1179",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "401-334-1097",
"MailingAddressFaxNumber": "401-305-5497",
"FirstLinePracticeLocationAddress": "6 BLACKSTONE VALLEY PL",
"SecondLinePracticeLocationAddress": "BUILDING #3 SUITE 305",
"PracticeLocationAddressCityName": "LINCOLN",
"PracticeLocationAddressStateName": "RI",
"PracticeLocationAddressPostalCode": "02865-1179",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "401-334-1097",
"PracticeLocationAddressFaxNumber": "401-305-5497",
"EnumerationDate": "08/07/2006",
"LastUpdateDate": "11/18/2014",
"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": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "MD11885",
"LicenseNumberStateCode": "RI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}