{
"Npi": {
"NPI": "1437662616",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GARN",
"FirstName": "ANNA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MS OTR/L",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MCGILL",
"OtherFirstName": "ANNA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MS OTR/L",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 103",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREENE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "13778-0103",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "716-913-8287",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "282 RIVERSIDE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JOHNSON CITY",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "13790-2727",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "607-729-9206",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/10/2017",
"LastUpdateDate": "04/22/2020",
"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": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "18620",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "016293",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}