{
"Npi": {
"NPI": "1699101428",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MORGAN",
"FirstName": "CAITLIN",
"MiddleName": "SARAH",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RDN,LDN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PETTIT",
"OtherFirstName": "CAITLIN",
"OtherMiddleName": "SARAH",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "RDN, LDN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "POB #1",
"SecondLineMailingAddress": "30 MEDICAL CENTER BLVD, SUITE 205",
"MailingAddressCityName": "UPLAND",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19013",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-619-7410",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "30 MEDICAL CENTER BLVD",
"SecondLinePracticeLocationAddress": "SUITE 205",
"PracticeLocationAddressCityName": "UPLAND",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19013",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "610-619-7410",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/25/2013",
"LastUpdateDate": "01/09/2018",
"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": "133V00000X",
"TaxonomyName": "Registered Dietitian",
"LicenseNumber": "1063851",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "133V00000X",
"TaxonomyName": "Registered Dietitian",
"LicenseNumber": "DN005237",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}