{
"Npi": {
"NPI": "1417403114",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ISEMINGER-SMITH",
"FirstName": "BRITTANY",
"MiddleName": "ANNE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PA-C, ATC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ISEMINGER",
"OtherFirstName": "BRITTANY",
"OtherMiddleName": "ANNE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "ATC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "80 TUCKAHOE TRL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HEDGESVILLE",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "25427-5593",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "240-291-8648",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "499 CAMPUS DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MARTINSBURG",
"PracticeLocationAddressStateName": "WV",
"PracticeLocationAddressPostalCode": "25404-7534",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "240-291-8648",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/01/2016",
"LastUpdateDate": "08/03/2024",
"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": "2255A2300X",
"TaxonomyName": "Athletic Trainer",
"LicenseNumber": "A00548",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2255A2300X",
"TaxonomyName": "Athletic Trainer",
"LicenseNumber": "AT001377",
"LicenseNumberStateCode": "WV",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "C0009524",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}