{
"Npi": {
"NPI": "1457708208",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CARRERA",
"FirstName": "LINDSEY",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.C.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CARPER",
"OtherFirstName": "LINDSEY",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "DC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2190 S MASON RD STE 302",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DES PERES",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63131-1637",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "636-236-7189",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2190 S MASON RD",
"SecondLinePracticeLocationAddress": "SUITE 302",
"PracticeLocationAddressCityName": "DES PERES",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63131-1637",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "636-629-2414",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/23/2016",
"LastUpdateDate": "01/02/2019",
"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": "111NS0005X",
"TaxonomyName": "Sports Physician Chiropractor",
"LicenseNumber": "2016014203",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}