{
"Npi": {
"NPI": "1700568250",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SMOOT-RICHARDSON",
"FirstName": "SALETHA",
"MiddleName": "SHARON",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "20 PUBLIX DR # 104-114",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CLAYTON",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27527-9362",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "252-710-6339",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "87 ROSE PETAL CT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ZEBULON",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27597-9495",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "252-710-6339",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/03/2023",
"LastUpdateDate": "08/03/2023",
"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": "343900000X",
"TaxonomyName": "Non-emergency Medical Transport (VAN)",
"LicenseNumber": "000029485065",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}