{
"Npi": {
"NPI": "1659890309",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HARRIS",
"FirstName": "JOY",
"MiddleName": "LYNN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "BSN, RN, CPM-TN, LM",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "290 CARDEN GAP RD.",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HEISKELL",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37754-6897",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "505-358-1947",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "290 CARDEN GAP RD.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HEISKELL",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37754-6897",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "505-358-1947",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/13/2017",
"LastUpdateDate": "11/01/2024",
"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": "176B00000X",
"TaxonomyName": "Midwife",
"LicenseNumber": "10078R",
"LicenseNumberStateCode": "NM",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "176B00000X",
"TaxonomyName": "Midwife",
"LicenseNumber": "147",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}