{
"Npi": {
"NPI": "1750133153",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SHEERAN",
"FirstName": "HANNA",
"MiddleName": "MAE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "OTD, OTR/L",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "61671 251ST AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MANTORVILLE",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55955-6038",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "507-259-7061",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "851 LESLIE LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HANFORD",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93230-5643",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "559-582-4414",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/01/2024",
"LastUpdateDate": "04/01/2024",
"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": "225XP0019X",
"TaxonomyName": "Physical Rehabilitation Occupational Therapist",
"LicenseNumber": "505537",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225XP0019X",
"TaxonomyName": "Physical Rehabilitation Occupational Therapist",
"LicenseNumber": "OT-1770",
"LicenseNumberStateCode": "WY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225XP0019X",
"TaxonomyName": "Physical Rehabilitation Occupational Therapist",
"LicenseNumber": "26199",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}