{
"Npi": {
"NPI": "1558214403",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HAWKINS",
"FirstName": "CARLA",
"MiddleName": "JACKSON",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HAWKINS",
"OtherFirstName": "TERRY",
"OtherMiddleName": "L",
"OtherNamePrefix": "MR.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "7642 LAKE ANGELINA DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOUNT DORA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32757-7154",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-234-7244",
"MailingAddressFaxNumber": "407-234-7244",
"FirstLinePracticeLocationAddress": "5425 TERRELL RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MOUNT DORA",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32757-7405",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "407-234-7244",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/19/2026",
"LastUpdateDate": "02/19/2026",
"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": "373H00000X",
"TaxonomyName": "Day Training/Habilitation Specialist",
"LicenseNumber": null,
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}