{
"Npi": {
"NPI": "1548969009",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HAUGHEY",
"FirstName": "JENNIFER",
"MiddleName": "ELLEN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "APRN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HAUGHEY",
"OtherFirstName": "JENN",
"OtherMiddleName": "ELLEN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "APRN",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "5205 OAKLINE VIEW DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LITHIA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33547-4034",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "619-244-0486",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "11948 BALM RIVERVIEW RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RIVERVIEW",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33569-6601",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "619-244-0486",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/23/2023",
"LastUpdateDate": "02/24/2023",
"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": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "11023580",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}