{
"Npi": {
"NPI": "1568527489",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HAZARD",
"FirstName": "GLORIA",
"MiddleName": "JEAN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LPN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SWANSON",
"OtherFirstName": "GLORIA",
"OtherMiddleName": "JEAN",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "501 E HOSPITAL LN",
"SecondLineMailingAddress": "SUITE 101",
"MailingAddressCityName": "TERRE HAUTE",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47802-4230",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-234-0707",
"MailingAddressFaxNumber": "812-234-3352",
"FirstLinePracticeLocationAddress": "501 E HOSPITAL LN",
"SecondLinePracticeLocationAddress": "SUITE 101",
"PracticeLocationAddressCityName": "TERRE HAUTE",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47802-4230",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "812-234-0707",
"PracticeLocationAddressFaxNumber": "812-234-3352",
"EnumerationDate": "12/22/2006",
"LastUpdateDate": "07/08/2007",
"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": "164W00000X",
"TaxonomyName": "Licensed Practical Nurse",
"LicenseNumber": "27054323A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}