{
"Npi": {
"NPI": "1578111696",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BOVEE",
"FirstName": "AMANDA",
"MiddleName": "DAWN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3637 MEDINA RD STE 320",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MEDINA",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44256-8152",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "330-723-2111",
"MailingAddressFaxNumber": "216-294-1763",
"FirstLinePracticeLocationAddress": "8231 MAIN ST STE M&E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KINSMAN",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44428-9514",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "330-876-1111",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/02/2019",
"LastUpdateDate": "02/02/2026",
"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": "363LA2200X",
"TaxonomyName": "Adult Health Nurse Practitioner",
"LicenseNumber": "APRN.CNP.025157",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}