{
"Npi": {
"NPI": "1699650192",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SUAREZ",
"FirstName": "JUSTINE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CPD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CALLAHAN",
"OtherFirstName": "JUSTINE",
"OtherMiddleName": "CARMEN MARIA",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "CPD",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "451 STATE ROUTE 42",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SHANDAKEN",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12480-5701",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "845-430-9947",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "451 STATE ROUTE 42",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SHANDAKEN",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12480-5701",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "845-430-9947",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/06/2025",
"LastUpdateDate": "08/06/2025",
"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": "374J00000X",
"TaxonomyName": "Doula",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}