{
"Npi": {
"NPI": "1407080369",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KAPLA MASON",
"FirstName": "JODI",
"MiddleName": "M",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LAC MT(ASCP)",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "410 CAMINO MIRAMONTES",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ESPANOLA",
"MailingAddressStateName": "NM",
"MailingAddressPostalCode": "87532-8052",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "575-779-4851",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2110 EAGLE CREEK LN STE 400",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WOODBURY",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55129-3209",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "575-779-4851",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/07/2009",
"LastUpdateDate": "09/20/2019",
"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": "225500000X",
"TaxonomyName": "Respiratory/Developmental/Rehabilitative Specialist/Technologist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "171100000X",
"TaxonomyName": "Acupuncturist",
"LicenseNumber": "1894",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}