{
"Npi": {
"NPI": "1760365399",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HERNANDEZ-ORDUNA",
"FirstName": "ANGEL",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "M.S., ED",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "447 S COUNTRY CLUB RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OSCEOLA",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72370-4207",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "870-563-0199",
"MailingAddressFaxNumber": "870-563-0103",
"FirstLinePracticeLocationAddress": "447 S COUNTRY CLUB RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OSCEOLA",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72370-4207",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "870-563-0199",
"PracticeLocationAddressFaxNumber": "870-563-0103",
"EnumerationDate": "07/30/2025",
"LastUpdateDate": "07/30/2025",
"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": "222Q00000X",
"TaxonomyName": "Developmental Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}