{
"Npi": {
"NPI": "1699929398",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ZOLA",
"FirstName": "KRISTEN",
"MiddleName": "JEAN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "OTR",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PAHL",
"OtherFirstName": "KRISTEN",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "52 CORPORATE CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALBANY",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12203-5176",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-456-3268",
"MailingAddressFaxNumber": "518-464-1469",
"FirstLinePracticeLocationAddress": "517 BRADT ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SCHENECTADY",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12306-4029",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "518-357-0095",
"PracticeLocationAddressFaxNumber": "518-357-4420",
"EnumerationDate": "11/07/2008",
"LastUpdateDate": "03/10/2022",
"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": "225XP0200X",
"TaxonomyName": "Pediatric Occupational Therapist",
"LicenseNumber": "004179-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}