{
"Npi": {
"NPI": "1427635580",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MOISE",
"FirstName": "MIKERLANDE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SYLVESTRE",
"OtherFirstName": "MIKERLANDE",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "13901 NE 3RD CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTH MIAMI",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33161-2835",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-893-2288",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5318 NW 93RD AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SUNRISE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33351-7722",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-536-7394",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/25/2021",
"LastUpdateDate": "03/25/2021",
"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": "224Z00000X",
"TaxonomyName": "Occupational Therapy Assistant",
"LicenseNumber": "OTA10873",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}