{
"Npi": {
"NPI": "1629250238",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ALBIERO",
"FirstName": "PAMELA",
"MiddleName": "SUE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.C.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FOSS",
"OtherFirstName": "PAMELA",
"OtherMiddleName": "SUE",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "D.C.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 489",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BIGFORK",
"MailingAddressStateName": "MT",
"MailingAddressPostalCode": "59911-0489",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "406-837-3966",
"MailingAddressFaxNumber": "406-837-3967",
"FirstLinePracticeLocationAddress": "104 CRESTVIEW DR UNIT 202",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BIGFORK",
"PracticeLocationAddressStateName": "MT",
"PracticeLocationAddressPostalCode": "59911-3594",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "406-837-3966",
"PracticeLocationAddressFaxNumber": "406-837-3967",
"EnumerationDate": "12/05/2007",
"LastUpdateDate": "11/07/2019",
"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": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "1150",
"LicenseNumberStateCode": "MT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}