{
"Npi": {
"NPI": "1497977045",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "NASHI",
"FirstName": "STAVRO",
"MiddleName": null,
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "C.P.N.P.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "NASHI",
"OtherFirstName": "STEVE",
"OtherMiddleName": null,
"OtherNamePrefix": "MR.",
"OtherNameSuffix": null,
"OtherCredential": "C.P.N.P.",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "1 MEDICAL CENTER DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BIDDEFORD",
"MailingAddressStateName": "ME",
"MailingAddressPostalCode": "04005-9422",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "207-282-9080",
"MailingAddressFaxNumber": "207-282-9180",
"FirstLinePracticeLocationAddress": "9 HEALTHCARE DR",
"SecondLinePracticeLocationAddress": "SUITE 208",
"PracticeLocationAddressCityName": "BIDDEFORD",
"PracticeLocationAddressStateName": "ME",
"PracticeLocationAddressPostalCode": "04005-9449",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "207-282-7531",
"PracticeLocationAddressFaxNumber": "207-286-3787",
"EnumerationDate": "05/03/2007",
"LastUpdateDate": "03/11/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "CNP81683",
"LicenseNumberStateCode": "ME",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LP0200X",
"TaxonomyName": "Pediatric Nurse Practitioner",
"LicenseNumber": "R043273",
"LicenseNumberStateCode": "ME",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LP0200X",
"TaxonomyName": "Pediatric Nurse Practitioner",
"LicenseNumber": "CNP81683",
"LicenseNumberStateCode": "ME",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}