{
"Npi": {
"NPI": "1609035484",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "JARNAGIN",
"FirstName": "HILLARY",
"MiddleName": "LUEBBEHUSEN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LUEBBEHUSEN",
"OtherFirstName": "HILLARY",
"OtherMiddleName": "INEZ",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MD",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "12201 MERIT DR",
"SecondLineMailingAddress": "SUITE 350",
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75251-2213",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-238-7888",
"MailingAddressFaxNumber": "214-238-7889",
"FirstLinePracticeLocationAddress": "7720 S BROADWAY STE 250",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LITTLETON",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80122-2634",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "720-922-6240",
"PracticeLocationAddressFaxNumber": "720-922-6241",
"EnumerationDate": "06/05/2008",
"LastUpdateDate": "07/09/2021",
"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": "207V00000X",
"TaxonomyName": "Obstetrics & Gynecology Physician",
"LicenseNumber": "P3382",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207V00000X",
"TaxonomyName": "Obstetrics & Gynecology Physician",
"LicenseNumber": "DR.0066662",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}