{
"Npi": {
"NPI": "1467611657",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ALT-PETERS",
"FirstName": "LATRICIA",
"MiddleName": "ANN",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "APRN, CNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 367",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LITTLE FALLS",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "56345",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "320-632-6647",
"MailingAddressFaxNumber": "320-632-9525",
"FirstLinePracticeLocationAddress": "13045 FALCON DR",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "BAXTER",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "56425-4201",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "218-829-9307",
"PracticeLocationAddressFaxNumber": "218-829-7649",
"EnumerationDate": "06/03/2008",
"LastUpdateDate": "03/07/2023",
"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": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "CNP2129",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}