{
"Npi": {
"NPI": "1538947221",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "STAGE-ROSENBERG",
"FirstName": "JULIE",
"MiddleName": "ANN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "RDH, MPH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "STAGE",
"OtherFirstName": "JULIE",
"OtherMiddleName": "ANN",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "RDH",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2357 ISABELLA DRIVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPARKS",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89434-2305",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "775-842-0874",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "825 S. MAIN STREET",
"SecondLinePracticeLocationAddress": "TONOPAH DENTAL CENTER",
"PracticeLocationAddressCityName": "TONOPAH",
"PracticeLocationAddressStateName": "NV",
"PracticeLocationAddressPostalCode": "89049",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "775-477-3033",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/15/2023",
"LastUpdateDate": "09/15/2023",
"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": "124Q00000X",
"TaxonomyName": "Dental Hygienist",
"LicenseNumber": "2560",
"LicenseNumberStateCode": "NV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}