{
"Npi": {
"NPI": "1700407210",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RABBAN",
"FirstName": "ALEXANDRA",
"MiddleName": "MARIE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "FNP-BC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "39851 SQUIRE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NOVI",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48375-3716",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "248-345-8336",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6149 N WAYNE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WESTLAND",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48185-7128",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "734-728-2130",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/06/2020",
"LastUpdateDate": "05/06/2020",
"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": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "4704299840",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}