{
"Npi": {
"NPI": "1730514472",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RECKREY",
"FirstName": "LORIE",
"MiddleName": "MARIE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "APRN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "RESKIN",
"OtherFirstName": "LORIE",
"OtherMiddleName": "MARIE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "APRN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "9250 GLENWOOD ST",
"SecondLineMailingAddress": "SUITE 100",
"MailingAddressCityName": "OVERLAND PARK",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66212-1365",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "913-648-8880",
"MailingAddressFaxNumber": "913-648-8881",
"FirstLinePracticeLocationAddress": "9250 GLENWOOD ST",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "OVERLAND PARK",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "66212-1365",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "913-648-8880",
"PracticeLocationAddressFaxNumber": "913-648-8881",
"EnumerationDate": "09/12/2013",
"LastUpdateDate": "02/10/2015",
"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": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "76158",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "363LA2200X",
"TaxonomyName": "Adult Health Nurse Practitioner",
"LicenseNumber": "2013033427",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}