{
"Npi": {
"NPI": "1467904763",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GUYTON",
"FirstName": "MONICA",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "NP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KNIGHT",
"OtherFirstName": "MONICA",
"OtherMiddleName": "MICHELLE",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "RN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "721 BLACKSHEAR FERRY RD W",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DUBLIN",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31021-0374",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "478-272-1210",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "721 BLACKSHEAR FERRY RD W",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DUBLIN",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "31021-0374",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "478-272-1210",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/03/2016",
"LastUpdateDate": "11/03/2016",
"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": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "RN102017",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}