{
"Npi": {
"NPI": "1578978078",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PALMER",
"FirstName": "CAROL",
"MiddleName": "A.",
"NamePrefix": "MS.",
"NameSuffix": "I",
"Credential": "L.AC., MS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "34 CHAMPLAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORT JEFFERSON STATION",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11776-4435",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "631-807-8971",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "34 CHAMPLAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PORT JEFFERSON STATION",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11776",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "631-807-8971",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/24/2014",
"LastUpdateDate": "03/13/2018",
"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": "171100000X",
"TaxonomyName": "Acupuncturist",
"LicenseNumber": "005251-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}