{
"Npi": {
"NPI": "1659815496",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "JOSWICK",
"FirstName": "JENNIFER",
"MiddleName": "C",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "R.E.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SHERWOOD",
"OtherFirstName": "JENNIFER",
"OtherMiddleName": "J",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "R.E.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "5175 MELBOURNE PL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RIVERSIDE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92508-6053",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "559-308-5164",
"MailingAddressFaxNumber": "888-502-7213",
"FirstLinePracticeLocationAddress": "8615 FLORENCE AVE STE 212",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DOWNEY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90240-4037",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "559-308-5164",
"PracticeLocationAddressFaxNumber": "888-502-7213",
"EnumerationDate": "12/13/2016",
"LastUpdateDate": "03/22/2019",
"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": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "8407",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "RE8407",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}