{
"Npi": {
"NPI": "1386687655",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DIANNA L POWELL",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "544 E WILLIAMS ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BARSTOW",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92311-2941",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-256-5225",
"MailingAddressFaxNumber": "760-255-4647",
"FirstLinePracticeLocationAddress": "544 E WILLIAMS ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BARSTOW",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92311-2941",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-256-5225",
"PracticeLocationAddressFaxNumber": "760-255-4647",
"EnumerationDate": "06/14/2006",
"LastUpdateDate": "06/13/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "POWELL",
"AuthorizedOfficialFirstName": "DIANNA",
"AuthorizedOfficialMiddleName": "LYNNE",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "760-256-5225",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}