{
"Npi": {
"NPI": "1689891186",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TARA L HEWLETT-BRYANT",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "557 N WILLOW ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHATTANOOGA",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37404-2233",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "423-624-9813",
"MailingAddressFaxNumber": "423-624-9813",
"FirstLinePracticeLocationAddress": "557 N WILLOW ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHATTANOOGA",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37404-2233",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "423-624-9813",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/19/2007",
"LastUpdateDate": "06/23/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HEWLETTBRYANT",
"AuthorizedOfficialFirstName": "TARA",
"AuthorizedOfficialMiddleName": "LAZETTE",
"AuthorizedOfficialTitle": "OWNERCEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "423-504-1595",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}