{
"Npi": {
"NPI": "1720194236",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CARPENTER",
"FirstName": "JULIE",
"MiddleName": "LANKFORD",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "APN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LANKFORD",
"OtherFirstName": "JULIE",
"OtherMiddleName": "A.",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "APN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "11851 DETROIT AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKEWOOD",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44107-3016",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "216-529-7125",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "209 HOSPITAL DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HIGHLANDS",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28741-7623",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "828-482-6160",
"PracticeLocationAddressFaxNumber": "828-482-5380",
"EnumerationDate": "08/21/2006",
"LastUpdateDate": "01/21/2025",
"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": "5018950",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "37851",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}