{
"Npi": {
"NPI": "1528012556",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PITTS",
"FirstName": "NANCY",
"MiddleName": "AVE-LALLEMANT",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CRNA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "AVE-LALLEMANT",
"OtherFirstName": "NANCY",
"OtherMiddleName": "LOUISE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "CRNA",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3100 SPRING FOREST RD",
"SecondLineMailingAddress": "STE 130",
"MailingAddressCityName": "RALEIGH",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27616-2880",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "919-882-0706",
"MailingAddressFaxNumber": "919-873-9821",
"FirstLinePracticeLocationAddress": "100 HOSPITAL DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HENDERSONVILLE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28792-5272",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "828-681-2420",
"PracticeLocationAddressFaxNumber": "828-687-0729",
"EnumerationDate": "05/22/2006",
"LastUpdateDate": "06/08/2016",
"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": "367500000X",
"TaxonomyName": "Certified Registered Nurse Anesthetist",
"LicenseNumber": "250085",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}