{
"Npi": {
"NPI": "1386840981",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ZEINE",
"FirstName": "AMANDA",
"MiddleName": "LEIGH",
"NamePrefix": "MISS",
"NameSuffix": null,
"Credential": "D.O.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ANTLE",
"OtherFirstName": "AMANDA",
"OtherMiddleName": "LEIGH",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "DO",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "650 JOEL DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FORT CAMPBELL",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "42223-5318",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "270-461-2857",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "650 JOEL DRIVE",
"SecondLinePracticeLocationAddress": "BLANCHFIELD COMMUNITY HOSPITAL",
"PracticeLocationAddressCityName": "FORT CAMPBELL",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "42223",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "270-798-8260",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/21/2007",
"LastUpdateDate": "06/21/2018",
"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": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "DOS 1266",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}