{
"Npi": {
"NPI": "1417957176",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GARLAND",
"FirstName": "JANET",
"MiddleName": "SUSAN",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "MSN, FNP, CANP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "GARLAND",
"OtherFirstName": "JAN",
"OtherMiddleName": "PASDOE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "FNP, ANP",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "2001 S WOODRUFF AVE",
"SecondLineMailingAddress": "SUITE 3",
"MailingAddressCityName": "IDAHO FALLS",
"MailingAddressStateName": "ID",
"MailingAddressPostalCode": "83404-6371",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "208-523-3050",
"MailingAddressFaxNumber": "208-523-4985",
"FirstLinePracticeLocationAddress": "3302 VALENCIA DR",
"SecondLinePracticeLocationAddress": "SUITE 201",
"PracticeLocationAddressCityName": "IDAHO FALLS",
"PracticeLocationAddressStateName": "ID",
"PracticeLocationAddressPostalCode": "83404",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "208-524-9400",
"PracticeLocationAddressFaxNumber": "208-524-9401",
"EnumerationDate": "07/26/2005",
"LastUpdateDate": "02/13/2019",
"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": "NP 355A",
"LicenseNumberStateCode": "ID",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}