{
"Npi": {
"NPI": "1407246614",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LET'SGETTHINMD, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "15806 BROOKWAY DR",
"SecondLineMailingAddress": "SUITE 400",
"MailingAddressCityName": "HUNTERSVILLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28078-3237",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "704-766-1000",
"MailingAddressFaxNumber": "704-766-1002",
"FirstLinePracticeLocationAddress": "5890 E 2ND ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CASPER",
"PracticeLocationAddressStateName": "WY",
"PracticeLocationAddressPostalCode": "82609-4308",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "307-337-4058",
"PracticeLocationAddressFaxNumber": "704-766-1002",
"EnumerationDate": "01/26/2015",
"LastUpdateDate": "01/26/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GIROUARD",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "P",
"AuthorizedOfficialTitle": "MANAGING PARTNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "704-766-1000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "14026.1371",
"LicenseNumberStateCode": "WY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}