{
"Npi": {
"NPI": "1427107531",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LEWIS",
"FirstName": "TARA",
"MiddleName": "MARIE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "N.P.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6 WINDING WOOD CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOUNT SINAI",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11766-3319",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "631-331-3652",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "200 BELLE TERRE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PORT JEFFERSON",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11777-1928",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "631-474-6000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/09/2007",
"LastUpdateDate": "07/08/2007",
"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": "363LP0200X",
"TaxonomyName": "Pediatric Nurse Practitioner",
"LicenseNumber": "F381695",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}