{
"Npi": {
"NPI": "1659533891",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BAUD",
"FirstName": "MATTHEW",
"MiddleName": "R",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "CCC-SLPL",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9255 STAR CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FRANKFORT",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60423-8704",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-935-5188",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9255 STAR CT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FRANKFORT",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60423-8704",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-935-5188",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/30/2008",
"LastUpdateDate": "06/30/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "235Z00000X",
"TaxonomyName": "Speech-Language Pathologist",
"LicenseNumber": "146008002",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}