{
"Npi": {
"NPI": "1578752994",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PRITCHETT",
"FirstName": "NIKKI",
"MiddleName": "JEANNE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PH.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FULKS",
"OtherFirstName": "NIKKI",
"OtherMiddleName": "J.",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PH.D.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "942 LEARNING WAY",
"SecondLineMailingAddress": "ASKEW STUDENT LIFE CENTER, SUITE 201",
"MailingAddressCityName": "TALLAHASSEE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32306-4175",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "850-644-2003",
"MailingAddressFaxNumber": "850-644-3150",
"FirstLinePracticeLocationAddress": "942 LEARNING WAY",
"SecondLinePracticeLocationAddress": "ASKEW STUDENT LIFE CENTER, SUITE 201",
"PracticeLocationAddressCityName": "TALLAHASSEE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32306-4175",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "850-644-2003",
"PracticeLocationAddressFaxNumber": "850-644-3150",
"EnumerationDate": "10/22/2007",
"LastUpdateDate": "10/22/2007",
"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": "103TC1900X",
"TaxonomyName": "Counseling Psychologist",
"LicenseNumber": "PY 5900",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}