{
"Npi": {
"NPI": "1588465108",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CRANFORD",
"FirstName": "AUDREY",
"MiddleName": "LYNN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MS, CCC-SLP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LYNN",
"OtherFirstName": "AUDREY",
"OtherMiddleName": "ELLEN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2410 HAPPY HOLLOW RD APT B4",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST LAFAYETTE",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47906-1717",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "901-308-3971",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3001 S CREASY LN STE 100B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAFAYETTE",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47905-5206",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "765-423-6885",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/20/2025",
"LastUpdateDate": "03/20/2025",
"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": "235Z00000X",
"TaxonomyName": "Speech-Language Pathologist",
"LicenseNumber": "14492457",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}