{
"Npi": {
"NPI": "1558923987",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LAROSE",
"FirstName": "BRYANNA",
"MiddleName": "STREIT",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DNP, APRN, AGNP-BC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "STREIT",
"OtherFirstName": "BRYANNA",
"OtherMiddleName": "JOY",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "DNP, APRN, AGNP-BC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "115 KILDAIRE PARK DR STE 301",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CARY",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27518-8144",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "919-233-0410",
"MailingAddressFaxNumber": "919-233-0872",
"FirstLinePracticeLocationAddress": "115 KILDAIRE PARK DR STE 301",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CARY",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27518-8144",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "919-233-0410",
"PracticeLocationAddressFaxNumber": "919-233-0872",
"EnumerationDate": "07/06/2019",
"LastUpdateDate": "04/14/2020",
"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": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "5012799",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "11002914",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}