{
"Npi": {
"NPI": "1609169929",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BOWIE",
"FirstName": "VERA",
"MiddleName": "LAVONNE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LISW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "648 POSSUM HOLLOW TRL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GERRARDSTOWN",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "25420-3025",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-297-5495",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "AREA A, BUILDING 830, ROOM BHH1-24",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WPAFB",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45433",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "937-257-8058",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/19/2011",
"LastUpdateDate": "05/19/2011",
"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": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "I0008070",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}