{
"Npi": {
"NPI": "1801126271",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PAYNE",
"FirstName": "SHERRIE",
"MiddleName": "ANNE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RT (R)",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3387 E WILSON DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOORESVILLE",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46158-6167",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "317-831-6878",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3387 E WILSON DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MOORESVILLE",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46158-6167",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "317-831-6878",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/07/2010",
"LastUpdateDate": "01/07/2010",
"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": "247100000X",
"TaxonomyName": "Radiologic Technologist",
"LicenseNumber": "XT017693",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}