{
"Npi": {
"NPI": "1467836825",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KENNEDY",
"FirstName": "SABRINA",
"MiddleName": "J",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "CNA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FLOWERS",
"OtherFirstName": "SABRINA",
"OtherMiddleName": null,
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "1220 CARBERRY ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CEDAR HILL",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75104-8152",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "254-229-2865",
"MailingAddressFaxNumber": "469-575-0178",
"FirstLinePracticeLocationAddress": "1220 CARBERRY ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CEDAR HILL",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75104-8152",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "254-229-2865",
"PracticeLocationAddressFaxNumber": "469-575-0178",
"EnumerationDate": "07/16/2015",
"LastUpdateDate": "04/14/2017",
"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": "376K00000X",
"TaxonomyName": "Nurse's Aide",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "374U00000X",
"TaxonomyName": "Home Health Aide",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3747A0650X",
"TaxonomyName": "Attendant Care Provider",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3747P1801X",
"TaxonomyName": "Personal Care Attendant",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "390200000X",
"TaxonomyName": "Student in an Organized Health Care Education/Training Program",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}