{
"Npi": {
"NPI": "1477863769",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HUPE",
"FirstName": "AMY",
"MiddleName": "L",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "N.P.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HURST",
"OtherFirstName": "AMY",
"OtherMiddleName": "L",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "6400 ROTHMAN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FORT WAYNE",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46835-1366",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "260-399-5874",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6400 ROTHMAN RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FORT WAYNE",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46835-1366",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "260-399-5874",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/20/2010",
"LastUpdateDate": "01/12/2026",
"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": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "71003509A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "163W00000X",
"TaxonomyName": "Registered Nurse",
"LicenseNumber": "2816244A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}