{
"Npi": {
"NPI": "1386764926",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LINDA R. WIESELER, INC.",
"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": "1003 32ND ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SIOUX CITY",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "51104-2734",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "712-490-2515",
"MailingAddressFaxNumber": "712-277-3173",
"FirstLinePracticeLocationAddress": "705 DOUGLAS ST STE 350",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SIOUX CITY",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "51101-1018",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "712-490-2515",
"PracticeLocationAddressFaxNumber": "712-277-3173",
"EnumerationDate": "03/29/2007",
"LastUpdateDate": "08/25/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WIESELER",
"AuthorizedOfficialFirstName": "LINDA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": "II",
"AuthorizedOfficialCredential": "MSE, LMHC",
"AuthorizedOfficialTelephoneNumber": "712-490-2515",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "01491",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}