{
"Npi": {
"NPI": "1740592666",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MESCHER",
"FirstName": "ELIZABETH",
"MiddleName": "MARIE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MA, CCC-SLP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KLUESNER",
"OtherFirstName": "ELIZABETH",
"OtherMiddleName": "MARIE",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "MA, CFY-SLP",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "5825 DRY CREEK LN NE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CEDAR RAPIDS",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "52402-1225",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "319-350-8018",
"MailingAddressFaxNumber": "319-368-3626",
"FirstLinePracticeLocationAddress": "5825 DRY CREEK LN NE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CEDAR RAPIDS",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "52402-1225",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "319-350-8018",
"PracticeLocationAddressFaxNumber": "319-368-3626",
"EnumerationDate": "07/08/2010",
"LastUpdateDate": "04/10/2013",
"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": "235Z00000X",
"TaxonomyName": "Speech-Language Pathologist",
"LicenseNumber": "002026",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}