{
"Npi": {
"NPI": "1558683698",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WAHLER",
"FirstName": "VENESSA",
"MiddleName": "L",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "N.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "THERIAULT",
"OtherFirstName": "VENESSA",
"OtherMiddleName": "L",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "N.D.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1620 BROADWAY",
"SecondLineMailingAddress": "SUITE 204",
"MailingAddressCityName": "SEATTLE",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98122-2556",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-420-6701",
"MailingAddressFaxNumber": "206-453-4170",
"FirstLinePracticeLocationAddress": "1620 BROADWAY",
"SecondLinePracticeLocationAddress": "SUITE 204",
"PracticeLocationAddressCityName": "SEATTLE",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98122-2556",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "206-420-6701",
"PracticeLocationAddressFaxNumber": "206-453-4170",
"EnumerationDate": "02/16/2010",
"LastUpdateDate": "05/12/2011",
"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": "175F00000X",
"TaxonomyName": "Naturopath",
"LicenseNumber": "NT60013242",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}