{
"Npi": {
"NPI": "1629229919",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LOPES",
"FirstName": "IONE",
"MiddleName": "DORNELLES",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LPN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DA PAIXAO",
"OtherFirstName": "IONE",
"OtherMiddleName": "DORNELLES",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "41 BROWN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FAIRHAVEN",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02719-4340",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "774-202-1898",
"MailingAddressFaxNumber": "774-202-1898",
"FirstLinePracticeLocationAddress": "41 BROWN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FAIRHAVEN",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "02719-4340",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "774-202-1898",
"PracticeLocationAddressFaxNumber": "774-202-1898",
"EnumerationDate": "10/04/2008",
"LastUpdateDate": "10/04/2008",
"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": "164W00000X",
"TaxonomyName": "Licensed Practical Nurse",
"LicenseNumber": "52107",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}