{
"Npi": {
"NPI": "1770676082",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HENRY",
"FirstName": "ROBIN",
"MiddleName": "MARIE",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "CFNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WALKER",
"OtherFirstName": "ROBIN",
"OtherMiddleName": "MARIE",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "CFNP",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 38",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SACATON",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85147-0001",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "602-528-1200",
"MailingAddressFaxNumber": "602-528-1255",
"FirstLinePracticeLocationAddress": "438 WEST SEED FARM ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SACATON",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85147-0038",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "602-528-1200",
"PracticeLocationAddressFaxNumber": "602-528-1255",
"EnumerationDate": "10/02/2006",
"LastUpdateDate": "01/08/2013",
"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": "RN 148648,,AP 2884",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}