{
"Npi": {
"NPI": "1639857170",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HE",
"FirstName": "AMIRAH",
"MiddleName": "D",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "DC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "33 DONNA LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST HAVEN",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06516-5520",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-442-2200",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1825 BARNUM AVE STE 304",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STRATFORD",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06614-5333",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "475-522-4476",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/06/2023",
"LastUpdateDate": "06/09/2025",
"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": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "2268",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}