{
"Npi": {
"NPI": "1528403458",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LEMAIRE",
"FirstName": "VIDA",
"MiddleName": "A.",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CRNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "10 MEADOWOOD DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LANGHORNE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19047-2858",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-809-8606",
"MailingAddressFaxNumber": "215-361-7579",
"FirstLinePracticeLocationAddress": "2026 N BROAD ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LANSDALE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19446-1004",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-368-4434",
"PracticeLocationAddressFaxNumber": "215-361-7579",
"EnumerationDate": "05/06/2013",
"LastUpdateDate": "08/20/2025",
"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": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "SP012667",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "26NJ00519500",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "SP027016",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}