{
"Npi": {
"NPI": "1487064325",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FAMILY CENTERED BIRTH",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1820 FULLERTON AVE STE 250",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CORONA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92881-7001",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "714-812-5275",
"MailingAddressFaxNumber": "208-979-5283",
"FirstLinePracticeLocationAddress": "17399 HEIGHTS LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RIVERSIDE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92503-7092",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "714-812-5275",
"PracticeLocationAddressFaxNumber": "208-979-5283",
"EnumerationDate": "04/30/2014",
"LastUpdateDate": "04/30/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "POTTHAST",
"AuthorizedOfficialFirstName": "KATHARINE",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "LICENSED MIDWIFE",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LM, CPM",
"AuthorizedOfficialTelephoneNumber": "714-812-5275",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QB0400X",
"TaxonomyName": "Birthing Clinic/Center",
"LicenseNumber": "LM347",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}