{
"Npi": {
"NPI": "1528318870",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ARENS",
"FirstName": "SANDRA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MSN RN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ARENS",
"OtherFirstName": "SANDRA",
"OtherMiddleName": "K",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "APNP, FNP-BC",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "905 S SCHARINE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AVALON",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53505-9528",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "608-201-1110",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "100 S WASHINGTON ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ELKHORN",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53121-1732",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "608-201-1110",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/13/2012",
"LastUpdateDate": "10/17/2014",
"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": "163W00000X",
"TaxonomyName": "Registered Nurse",
"LicenseNumber": "159880-030",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "6012-33",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}