{
"Npi": {
"NPI": "1407222193",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HUFFMAN",
"FirstName": "SHAWN",
"MiddleName": null,
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2751 ENTERPRISE RD",
"SecondLineMailingAddress": "SUITE 106",
"MailingAddressCityName": "ORANGE CITY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32763-8256",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-775-0220",
"MailingAddressFaxNumber": "386-775-0221",
"FirstLinePracticeLocationAddress": "2751 ENTERPRISE RD",
"SecondLinePracticeLocationAddress": "SUITE 106",
"PracticeLocationAddressCityName": "ORANGE CITY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32763-8256",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "386-775-0220",
"PracticeLocationAddressFaxNumber": "386-775-0221",
"EnumerationDate": "08/17/2015",
"LastUpdateDate": "08/18/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "237700000X",
"TaxonomyName": "Hearing Instrument Specialist",
"LicenseNumber": "AS5115",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}