{
"Npi": {
"NPI": "1619165974",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GUISTWITE",
"FirstName": "STACY",
"MiddleName": "L",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RDH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MERTZ",
"OtherFirstName": "STACY",
"OtherMiddleName": "L",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "116 S GEORGE ST",
"SecondLineMailingAddress": "SUITE 301",
"MailingAddressCityName": "YORK",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17401-1474",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-846-5846",
"MailingAddressFaxNumber": "717-854-0377",
"FirstLinePracticeLocationAddress": "1230 HIGH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HANOVER",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "17331-1127",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-632-9052",
"PracticeLocationAddressFaxNumber": "717-632-2388",
"EnumerationDate": "10/11/2007",
"LastUpdateDate": "10/11/2007",
"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": "124Q00000X",
"TaxonomyName": "Dental Hygienist",
"LicenseNumber": "DH011947L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}