{
"Npi": {
"NPI": "1659063683",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "VAUGHN",
"FirstName": "KARON",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CIT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HAWTHORNE",
"OtherFirstName": "KARON",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "CIT",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "6 PRAIRIE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MANGHAM",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "71259-5326",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "318-381-9077",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "307 HAYES ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RAYVILLE",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "71269-2531",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "318-728-5488",
"PracticeLocationAddressFaxNumber": "318-728-6282",
"EnumerationDate": "05/26/2023",
"LastUpdateDate": "05/26/2023",
"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": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}