{
"Npi": {
"NPI": "1609923283",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "SUNRISE COMMUNITY HEALTH",
"ParentOrgTIN": null,
"OrgName": "SUNRISE COMMUNITY HEALTH",
"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": "2930 11TH AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EVANS",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80620-1011",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "970-461-3843",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "302 3RD ST SE STE 150",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LOVELAND",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80537-6419",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "970-461-3843",
"PracticeLocationAddressFaxNumber": "970-461-3847",
"EnumerationDate": "01/04/2007",
"LastUpdateDate": "03/04/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ASPROMONTE",
"AuthorizedOfficialFirstName": "LISA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CREDENTIALING SPECIALIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "970-350-4602",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0002X",
"TaxonomyName": "Clinic Pharmacy",
"LicenseNumber": "820000103",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}