{
"Npi": {
"NPI": "1396806196",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PIESTRUP",
"FirstName": "SARAH",
"MiddleName": "LENORE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "FNP, LAC, DIPL OM",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PIESTRUP SCOTT",
"OtherFirstName": "SARAH",
"OtherMiddleName": "LENORE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "10171 CHUMSTICK HWY STE E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEAVENWORTH",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98826-8762",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "509-548-4780",
"MailingAddressFaxNumber": "509-888-3956",
"FirstLinePracticeLocationAddress": "10454 FOX RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LEAVENWORTH",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98826-9515",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "509-548-4780",
"PracticeLocationAddressFaxNumber": "509-888-3956",
"EnumerationDate": "12/13/2006",
"LastUpdateDate": "07/16/2025",
"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": "171100000X",
"TaxonomyName": "Acupuncturist",
"LicenseNumber": "602460017",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "202215555NP-PP",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "AP60376135",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}