{
"Npi": {
"NPI": "1740008093",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PINDER",
"FirstName": "RENEE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "APNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CASSELS",
"OtherFirstName": "RENEE",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "818 5TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LANGDON",
"MailingAddressStateName": "ND",
"MailingAddressPostalCode": "58249-2508",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "816-988-0100",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "213 2ND AVE NE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROLLA",
"PracticeLocationAddressStateName": "ND",
"PracticeLocationAddressPostalCode": "58367-7153",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "701-477-3161",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/26/2024",
"LastUpdateDate": "09/26/2024",
"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": "163W00000X",
"TaxonomyName": "Registered Nurse",
"LicenseNumber": "R51647",
"LicenseNumberStateCode": "ND",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}