{
"Npi": {
"NPI": "1659861938",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FILLEBEEN",
"FirstName": "AMELIE",
"MiddleName": "MONIQUE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "STROHSCHANK",
"OtherFirstName": "AMELIE",
"OtherMiddleName": "MONIQUE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "140 SW 146TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BURIEN",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98166-1912",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-630-3000",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "140 SW 146TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BURIEN",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98166-1912",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "206-630-3000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/13/2018",
"LastUpdateDate": "11/22/2021",
"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": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "MD61149050",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}