{
"Npi": {
"NPI": "1750767364",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CAYSIE N GARZA APRN FNP-C 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": "3401 W BROADWAY ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MUSKOGEE",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74401-2136",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-687-5477",
"MailingAddressFaxNumber": "918-681-1392",
"FirstLinePracticeLocationAddress": "3401 W BROADWAY ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MUSKOGEE",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "74401-2136",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-687-5477",
"PracticeLocationAddressFaxNumber": "918-681-1392",
"EnumerationDate": "08/05/2015",
"LastUpdateDate": "08/05/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GARZA",
"AuthorizedOfficialFirstName": "CAYSIE",
"AuthorizedOfficialMiddleName": "N",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "APRN, FNP-C",
"AuthorizedOfficialTelephoneNumber": "918-687-5477",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "305R00000X",
"TaxonomyName": "Preferred Provider Organization",
"LicenseNumber": "93131",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}