{
"Npi": {
"NPI": "1760963409",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "EILTS",
"FirstName": "CHELSEA",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "ND, DSOM",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "39401 NW MAPLE RIDGE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WOODLAND",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98674-3125",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-607-4527",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4001 MAIN ST STE 306",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VANCOUVER",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98663-1888",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-382-3410",
"PracticeLocationAddressFaxNumber": "360-382-3413",
"EnumerationDate": "08/21/2018",
"LastUpdateDate": "05/29/2022",
"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": "171100000X",
"TaxonomyName": "Acupuncturist",
"LicenseNumber": "AC60880504",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "175F00000X",
"TaxonomyName": "Naturopath",
"LicenseNumber": "NT60903159",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}