{
"Npi": {
"NPI": "1629605407",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "TODD",
"FirstName": "WHITNEY",
"MiddleName": "NICOLE LORENE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CRNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SANDERS, TODD",
"OtherFirstName": "WHITNEY",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2665 COUNTY HIGHWAY 19",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HALEYVILLE",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35565-5052",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "205-269-5832",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "171 CARRAWAY DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WINFIELD",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "35594-5067",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "205-487-4405",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/24/2020",
"LastUpdateDate": "12/30/2025",
"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": "163W00000X",
"TaxonomyName": "Registered Nurse",
"LicenseNumber": "1-173714",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "1-173714",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}