{
"Npi": {
"NPI": "1467480061",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SPINDLER- EBENSPERGER",
"FirstName": "LYNN",
"MiddleName": "THERESE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "PA-C MMS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SPINDLER",
"OtherFirstName": "LYNN",
"OtherMiddleName": "THERESE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PA-C",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "815 2ND ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PEPIN",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "54759-9662",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "715-495-6385",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "16490 W 78TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EDEN PRAIRIE",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55346-4300",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "715-495-6385",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/30/2006",
"LastUpdateDate": "03/17/2018",
"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": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "1110-023",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "12507",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}