{
"Npi": {
"NPI": "1659553352",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MIRANDA",
"FirstName": "KRISTINE",
"MiddleName": "BENITO",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DSW, LCSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MIRANDA",
"OtherFirstName": "KRISTINE-ANNE",
"OtherMiddleName": "BENITO",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "726 BROADWAY",
"SecondLineMailingAddress": "NYU SHC",
"MailingAddressCityName": "NEW YORK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10003-9502",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "212-998-4791",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "726 BROADWAY",
"SecondLinePracticeLocationAddress": "NYU SHC",
"PracticeLocationAddressCityName": "NEW YORK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10003-9502",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "212-998-4791",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/04/2007",
"LastUpdateDate": "08/15/2014",
"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": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": "075827",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}