{
"Npi": {
"NPI": "1508169491",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "STRIDER",
"FirstName": "JENNIFER",
"MiddleName": "MAY",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "N.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WEIDNER",
"OtherFirstName": "JENNIFER",
"OtherMiddleName": "MAY",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "ND",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "23548 LYONS AVE STE B",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEWHALL",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91321-5782",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "661-414-2350",
"MailingAddressFaxNumber": "661-513-4991",
"FirstLinePracticeLocationAddress": "23548 LYONS AVE STE B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEWHALL",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91321-5782",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "661-414-2350",
"PracticeLocationAddressFaxNumber": "661-513-4991",
"EnumerationDate": "12/15/2010",
"LastUpdateDate": "01/04/2022",
"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": "175F00000X",
"TaxonomyName": "Naturopath",
"LicenseNumber": "1814",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "175F00000X",
"TaxonomyName": "Naturopath",
"LicenseNumber": "ND-431",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}