{
"Npi": {
"NPI": "1598126120",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "MEREDITH ELISE KURRY",
"ParentOrgTIN": null,
"OrgName": "MEREDITH ELISE KURRY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1548 OAK AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BOULDER",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80304-1222",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "720-231-7109",
"MailingAddressFaxNumber": "303-975-4936",
"FirstLinePracticeLocationAddress": "10090 GARRISON ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WESTMINSTER",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80021-3894",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "720-231-7109",
"PracticeLocationAddressFaxNumber": "303-975-4936",
"EnumerationDate": "03/09/2016",
"LastUpdateDate": "03/09/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KURRY",
"AuthorizedOfficialFirstName": "MEREDITH",
"AuthorizedOfficialMiddleName": "ELISE",
"AuthorizedOfficialTitle": "THERAPIST/MENTAL HEALTH",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CSW",
"AuthorizedOfficialTelephoneNumber": "720-231-7109",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "305R00000X",
"TaxonomyName": "Preferred Provider Organization",
"LicenseNumber": "992377",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}