{
"Npi": {
"NPI": "1598283079",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DECONTO",
"FirstName": "ALYSSA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CNM, WHNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1329 MISSION RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KODIAK",
"MailingAddressStateName": "AK",
"MailingAddressPostalCode": "99615-6583",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "22-964-0278",
"MailingAddressFaxNumber": "855-794-0985",
"FirstLinePracticeLocationAddress": "1329 MISSION RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KODIAK",
"PracticeLocationAddressStateName": "AK",
"PracticeLocationAddressPostalCode": "99615-6583",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "202-964-0278",
"PracticeLocationAddressFaxNumber": "855-794-0985",
"EnumerationDate": "09/05/2017",
"LastUpdateDate": "09/15/2022",
"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": "363LW0102X",
"TaxonomyName": "Women's Health Nurse Practitioner",
"LicenseNumber": "125740",
"LicenseNumberStateCode": "AK",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "367A00000X",
"TaxonomyName": "Advanced Practice Midwife",
"LicenseNumber": "125740",
"LicenseNumberStateCode": "AK",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}