{
"Npi": {
"NPI": "1720379381",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SCHIEBNER",
"FirstName": "MATTHEW",
"MiddleName": "GERARD",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "NP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "11 STEPPING STONE WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BLUFFTON",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29910-4428",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "989-714-9287",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1 PINCKNEY BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BEAUFORT",
"PracticeLocationAddressStateName": "SC",
"PracticeLocationAddressPostalCode": "29902-6122",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "843-770-0444",
"PracticeLocationAddressFaxNumber": "843-579-3771",
"EnumerationDate": "04/29/2011",
"LastUpdateDate": "11/06/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"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": "4704246701",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}