{
"Npi": {
"NPI": "1760270151",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SPICER",
"FirstName": "SHAE",
"MiddleName": "CAROLINE",
"NamePrefix": "MISS",
"NameSuffix": null,
"Credential": "MSN, APN, FNP-BC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "115 E KINGS HWY UNIT 157",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MAPLE SHADE",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08052-3445",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-694-4773",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1301 WHITEHORSE MERCERVILLE RD STE 201",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TRENTON",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08619-3826",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-585-2200",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/28/2025",
"LastUpdateDate": "04/28/2025",
"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": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "26NJ15148200",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}