{
"Npi": {
"NPI": "1659934313",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KATZ",
"FirstName": "RENEE",
"MiddleName": "S",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "133 OLD TOWER HILL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WAKEFIELD",
"MailingAddressStateName": "RI",
"MailingAddressPostalCode": "02879-3739",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "401-864-0947",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "133 OLD TOWER HILL RD STE 5",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WAKEFIELD",
"PracticeLocationAddressStateName": "RI",
"PracticeLocationAddressPostalCode": "02879-3700",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "401-864-0947",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/18/2019",
"LastUpdateDate": "04/18/2019",
"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": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "0090",
"LicenseNumberStateCode": "RI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}