{
"Npi": {
"NPI": "1689226508",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HOERRES",
"FirstName": "LYNN",
"MiddleName": "MICHELLE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "FNP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4225 EXECUTIVE SQ STE 450",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LA JOLLA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92037-8411",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "858-810-8000",
"MailingAddressFaxNumber": "858-268-1911",
"FirstLinePracticeLocationAddress": "8851 CENTER DR STE 505",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LA MESA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91942-3059",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "619-461-3880",
"PracticeLocationAddressFaxNumber": "619-461-3895",
"EnumerationDate": "07/11/2019",
"LastUpdateDate": "11/14/2024",
"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": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "SP019374",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}