{
"Npi": {
"NPI": "1447229232",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HEBERT",
"FirstName": "LAUREEN",
"MiddleName": "MARIE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "CNM, FNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DEARY",
"OtherFirstName": "LARUEEN",
"OtherMiddleName": "MARIE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "CNM, FNP",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "KAISER PERMANENTE SAN MARCOS MEDICAL OFFICES OBGYN",
"SecondLineMailingAddress": "400 CRAVEN ROAD",
"MailingAddressCityName": "SAN MARCOS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92078",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-510-4046",
"MailingAddressFaxNumber": "760-510-4142",
"FirstLinePracticeLocationAddress": "KAISER PERMANENTE SAN MARCOS MEDICAL OFFICES OBGYN",
"SecondLinePracticeLocationAddress": "400 CRAVEN ROAD",
"PracticeLocationAddressCityName": "SAN MARCOS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92078",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-510-4046",
"PracticeLocationAddressFaxNumber": "760-510-4142",
"EnumerationDate": "03/15/2006",
"LastUpdateDate": "12/21/2021",
"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": "367A00000X",
"TaxonomyName": "Advanced Practice Midwife",
"LicenseNumber": "NMW959",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}