{
"Npi": {
"NPI": "1548955297",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PROSKEY",
"FirstName": "RONALD",
"MiddleName": "JOSEPH",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "NP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PROSKEY",
"OtherFirstName": "RONALD",
"OtherMiddleName": "JOSEPH",
"OtherNamePrefix": "MR.",
"OtherNameSuffix": "JR.",
"OtherCredential": "NP",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "1406 N VINCENT CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MESA",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85207-4402",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "480-702-4560",
"MailingAddressFaxNumber": "520-542-3362",
"FirstLinePracticeLocationAddress": "1520 E PIMA ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PHOENIX",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85034-4639",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "602-407-6280",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/10/2023",
"LastUpdateDate": "05/14/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "289148",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}