{
"Npi": {
"NPI": "1700025525",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CRAMER",
"FirstName": "ELLEN",
"MiddleName": "JEAN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CNM , NP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1769 ELLIS HOLLOW RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ITHACA",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14850-9654",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "607-592-2460",
"MailingAddressFaxNumber": "341-300-2087",
"FirstLinePracticeLocationAddress": "1769 ELLIS HOLLOW RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ITHACA",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "14850-9654",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "607-216-8457",
"PracticeLocationAddressFaxNumber": "341-300-2087",
"EnumerationDate": "02/18/2009",
"LastUpdateDate": "02/25/2021",
"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": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "F420920",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "367A00000X",
"TaxonomyName": "Advanced Practice Midwife",
"LicenseNumber": "000373",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}