{
"Npi": {
"NPI": "1477883734",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WEISS",
"FirstName": "SHERRY",
"MiddleName": "S",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WEISS",
"OtherFirstName": "SHERRY",
"OtherMiddleName": "S",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "4844 INVERNESS CT",
"SecondLineMailingAddress": "104 SUITE",
"MailingAddressCityName": "PALM HARBOR",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34685-4103",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "440-213-7485",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4844 INVERNESS CT",
"SecondLinePracticeLocationAddress": "104 SUITE",
"PracticeLocationAddressCityName": "PALM HARBOR",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34685-4103",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "440-213-7485",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/09/2010",
"LastUpdateDate": "01/09/2010",
"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": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "230432",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}