{
"Npi": {
"NPI": "1407862543",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GERSTEIN",
"FirstName": "JOANN",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "ARNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "GERSTEIN",
"OtherFirstName": "JOANN",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "ARNP",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "PO BOX 1011",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALM BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33480-1011",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-840-7578",
"MailingAddressFaxNumber": "561-863-0590",
"FirstLinePracticeLocationAddress": "2151 45TH ST",
"SecondLinePracticeLocationAddress": "SUITE 110",
"PracticeLocationAddressCityName": "WEST PALM BEACH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33407-2026",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-840-7578",
"PracticeLocationAddressFaxNumber": "561-863-0590",
"EnumerationDate": "07/31/2006",
"LastUpdateDate": "02/19/2008",
"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": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "1092782",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}