{
"Npi": {
"NPI": "1417638123",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FRANCO",
"FirstName": "TANYA LYKA",
"MiddleName": "DUMALOAN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "C-SLPA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DUMALOAN",
"OtherFirstName": "TANYA LYKA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1334 TOWN BROOKE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIDDLETOWN",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06457-6607",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-577-6193",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1334 TOWN BROOKE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MIDDLETOWN",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06457-6607",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "518-577-6193",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/26/2023",
"LastUpdateDate": "07/26/2023",
"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": "2355S0801X",
"TaxonomyName": "Speech-Language Assistant",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}