{
"Npi": {
"NPI": "1619918281",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WEIMER",
"FirstName": "CHANDRA",
"MiddleName": "R.",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DO",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WILLIAMS",
"OtherFirstName": "CHANDRA",
"OtherMiddleName": "R",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "DO",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 13008",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LANSING",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48901-3008",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "517-364-6253",
"MailingAddressFaxNumber": "517-364-6208",
"FirstLinePracticeLocationAddress": "2909 E GRAND RIVER AVE STE 302",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LANSING",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48912-4335",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "517-337-8680",
"PracticeLocationAddressFaxNumber": "517-364-8681",
"EnumerationDate": "06/08/2006",
"LastUpdateDate": "10/29/2018",
"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": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "5101015733",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}