{
"Npi": {
"NPI": "1649409228",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "EISENBERG",
"FirstName": "ALLISON",
"MiddleName": "ELAINE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "APRN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FEE",
"OtherFirstName": "ALLISON",
"OtherMiddleName": "ELAINE",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "APRN",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "5233 BELLAIRE BLVD STE B",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BELLAIRE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77401-3901",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "281-412-2494",
"MailingAddressFaxNumber": "281-412-2495",
"FirstLinePracticeLocationAddress": "5233 BELLAIRE BLVD STE B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BELLAIRE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77401-3901",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "281-412-2494",
"PracticeLocationAddressFaxNumber": "281-412-2495",
"EnumerationDate": "07/05/2009",
"LastUpdateDate": "02/29/2024",
"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": "363LA2200X",
"TaxonomyName": "Adult Health Nurse Practitioner",
"LicenseNumber": "705356",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}