{
"Npi": {
"NPI": "1629537279",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PRICE",
"FirstName": "JAIMA",
"MiddleName": "SUZANNE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MA, HIS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WARD",
"OtherFirstName": "JAIMA",
"OtherMiddleName": "SUZANNE",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "BS",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "106 EAST WATAUGA AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JOHNSON CITY",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37601",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "423-928-5771",
"MailingAddressFaxNumber": "423-928-1424",
"FirstLinePracticeLocationAddress": "106 E WATAUGA AVENUE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JOHNSON CITY",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37601",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "423-928-5771",
"PracticeLocationAddressFaxNumber": "423-928-1424",
"EnumerationDate": "03/13/2019",
"LastUpdateDate": "03/13/2019",
"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": "237700000X",
"TaxonomyName": "Hearing Instrument Specialist",
"LicenseNumber": "946",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}