{
"Npi": {
"NPI": "1437280690",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "NORLING",
"FirstName": "TAMARA",
"MiddleName": "RAE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PA-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BERG",
"OtherFirstName": "TAMARA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PA-C",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "66111 182ND PLACE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JACOBSON",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55752",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "320-444-3596",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "WAPITI MEDICAL STAFFING",
"SecondLinePracticeLocationAddress": "912 INDUSTRIAL DRIVE, SUITE 102",
"PracticeLocationAddressCityName": "MILBANK",
"PracticeLocationAddressStateName": "SD",
"PracticeLocationAddressPostalCode": "57252",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "605-438-6918",
"PracticeLocationAddressFaxNumber": "888-242-9992",
"EnumerationDate": "03/08/2007",
"LastUpdateDate": "03/06/2025",
"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": "133V00000X",
"TaxonomyName": "Registered Dietitian",
"LicenseNumber": "1154",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "11867",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}