{
"Npi": {
"NPI": "1417111097",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CHEN",
"FirstName": "JESSICA",
"MiddleName": "LOW",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LOW",
"OtherFirstName": "JESSICA",
"OtherMiddleName": "YEE-MUN",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "M.D.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1805 EL CAMINO REAL",
"SecondLineMailingAddress": "SUITE 100",
"MailingAddressCityName": "PALO ALTO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94306",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "650-324-9200",
"MailingAddressFaxNumber": "650-326-5793",
"FirstLinePracticeLocationAddress": "1805 EL CAMINO REAL",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "PALO ALTO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94306",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "650-324-9200",
"PracticeLocationAddressFaxNumber": "650-326-5793",
"EnumerationDate": "07/14/2008",
"LastUpdateDate": "09/10/2012",
"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": "207W00000X",
"TaxonomyName": "Ophthalmology Physician",
"LicenseNumber": "ML60019810",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207W00000X",
"TaxonomyName": "Ophthalmology Physician",
"LicenseNumber": "ME109514",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}