{
"Npi": {
"NPI": "1790219426",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "TOMPKINS",
"FirstName": "REBECKA",
"MiddleName": "E",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PSYD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ROSMANN",
"OtherFirstName": "REBECKA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PSYD",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "13460 WALSH DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BOYS TOWN",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "68010-7529",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "531-355-3358",
"MailingAddressFaxNumber": "531-355-3375",
"FirstLinePracticeLocationAddress": "13460 WALSH DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BOYS TOWN",
"PracticeLocationAddressStateName": "NE",
"PracticeLocationAddressPostalCode": "68010-7529",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "531-355-3358",
"PracticeLocationAddressFaxNumber": "531-355-3375",
"EnumerationDate": "04/19/2017",
"LastUpdateDate": "07/10/2024",
"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": "103TC0700X",
"TaxonomyName": "Clinical Psychologist",
"LicenseNumber": "086957",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "103T00000X",
"TaxonomyName": "Psychologist",
"LicenseNumber": "843",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}