{
"Npi": {
"NPI": "1518391267",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL",
"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": "1024 N UTAH ST APT 121",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ARLINGTON",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22201-5734",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-389-5073",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3800 RESERVOIR RD NW",
"SecondLinePracticeLocationAddress": "BLES BUILDING",
"PracticeLocationAddressCityName": "WASHINGTON",
"PracticeLocationAddressStateName": "DC",
"PracticeLocationAddressPostalCode": "20007-2113",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "202-444-5592",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/29/2013",
"LastUpdateDate": "08/29/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TIERNAN",
"AuthorizedOfficialFirstName": "MELISSA",
"AuthorizedOfficialMiddleName": "THERESA",
"AuthorizedOfficialTitle": "OCCUPATIONAL THERAPIST",
"AuthorizedOfficialNamePrefix": "MISS",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MS, OTR/L",
"AuthorizedOfficialTelephoneNumber": "610-389-5073",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282NR1301X",
"TaxonomyName": "Rural Acute Care Hospital",
"LicenseNumber": "OT010000878",
"LicenseNumberStateCode": "DC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}