{
"Npi": {
"NPI": "1386954626",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HAYES",
"FirstName": "LACEY",
"MiddleName": "JAY",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "RN, MSN, FNP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MCCULLEN",
"OtherFirstName": "LACEY",
"OtherMiddleName": "JAY",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "BA",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "100 HITCHCOCK WAY",
"SecondLineMailingAddress": "DARTMOUTH HITCHCOCK - ENDOCRINOLOGY",
"MailingAddressCityName": "MANCHESTER",
"MailingAddressStateName": "NH",
"MailingAddressPostalCode": "03104-4125",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "603-645-6401",
"MailingAddressFaxNumber": "603-629-7727",
"FirstLinePracticeLocationAddress": "100 HITCHCOCK WAY",
"SecondLinePracticeLocationAddress": "DARTMOUTH HITCHCOCK - ENDOCRINOLOGY",
"PracticeLocationAddressCityName": "MANCHESTER",
"PracticeLocationAddressStateName": "NH",
"PracticeLocationAddressPostalCode": "03104-4125",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "603-645-6401",
"PracticeLocationAddressFaxNumber": "603-629-7727",
"EnumerationDate": "10/20/2010",
"LastUpdateDate": "11/05/2015",
"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": "171M00000X",
"TaxonomyName": "Case Manager/Care Coordinator",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "069489-23",
"LicenseNumberStateCode": "NH",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}