{
"Npi": {
"NPI": "1518294636",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EASTSIDE MIDWIVES",
"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": "13128 TOTEM LAKE BLVD NE",
"SecondLineMailingAddress": "#101",
"MailingAddressCityName": "KIRKLAND",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98034-2953",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "425-823-1919",
"MailingAddressFaxNumber": "425-823-7037",
"FirstLinePracticeLocationAddress": "13128 TOTEM LAKE BLVD NE",
"SecondLinePracticeLocationAddress": "#101",
"PracticeLocationAddressCityName": "KIRKLAND",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98034-2953",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "425-823-1919",
"PracticeLocationAddressFaxNumber": "425-823-7037",
"EnumerationDate": "11/10/2009",
"LastUpdateDate": "11/10/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MURRAY",
"AuthorizedOfficialFirstName": "BILLIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CLINIC MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "425-823-1919",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "176B00000X",
"TaxonomyName": "Midwife",
"LicenseNumber": "MW00000158",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}