{
"Npi": {
"NPI": "1689492258",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BARKLOW",
"FirstName": "STARI",
"MiddleName": "SKYE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "BSN, RN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MORALEZ",
"OtherFirstName": "STARI",
"OtherMiddleName": "SKYE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3130 ORIOLE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPRINGFIELD",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97477-7533",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "541-636-6551",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3130 ORIOLE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SPRINGFIELD",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97477-7533",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "541-636-6551",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/01/2024",
"LastUpdateDate": "10/01/2024",
"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": "163WP0200X",
"TaxonomyName": "Pediatric Registered Nurse",
"LicenseNumber": "10011603",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}