{
"Npi": {
"NPI": "1700072857",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "STRAUGHN",
"FirstName": "GLORIA",
"MiddleName": "GIAVENO",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "ARNP, CS, BC, PHD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "497 HOOKSETT RD",
"SecondLineMailingAddress": "SUITE 325",
"MailingAddressCityName": "MANCHESTER",
"MailingAddressStateName": "NH",
"MailingAddressPostalCode": "03104-2632",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "603-224-0101",
"MailingAddressFaxNumber": "603-668-2191",
"FirstLinePracticeLocationAddress": "722 ROUTE 3A",
"SecondLinePracticeLocationAddress": "SUITE 15",
"PracticeLocationAddressCityName": "BOW",
"PracticeLocationAddressStateName": "NH",
"PracticeLocationAddressPostalCode": "03304-4010",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "603-224-0101",
"PracticeLocationAddressFaxNumber": "603-668-2191",
"EnumerationDate": "09/22/2007",
"LastUpdateDate": "09/22/2007",
"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": "163WP0809X",
"TaxonomyName": "Adult Psychiatric/Mental Health Registered Nurse",
"LicenseNumber": "020052-21",
"LicenseNumberStateCode": "NH",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "020052-23-08",
"LicenseNumberStateCode": "NH",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "364SP0809X",
"TaxonomyName": "Adult Psychiatric/Mental Health Clinical Nurse Specialist",
"LicenseNumber": null,
"LicenseNumberStateCode": "NH",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}