{
"Npi": {
"NPI": "1750658225",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEATHER R HILL MD LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1033 STONE SPRING CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EUREKA",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63025-3615",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "541-206-0188",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1033 STONE SPRING CT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EUREKA",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63025-3615",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "541-206-0188",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/28/2011",
"LastUpdateDate": "01/14/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HILL",
"AuthorizedOfficialFirstName": "HEATHER",
"AuthorizedOfficialMiddleName": "RENEE",
"AuthorizedOfficialTitle": "MD",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "541-206-0188",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2084P0800X",
"TaxonomyName": "Psychiatry Physician",
"LicenseNumber": "2011035206",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}