{
"Npi": {
"NPI": "1801299078",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LING",
"FirstName": "LISA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "NP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LING",
"OtherFirstName": "LISA TSEH",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "FNP PMHNP",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "PO BOX 25880",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "YUMA",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85367-1340",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "928-257-0993",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "210 W CONTINENTAL RD STE 244A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GREEN VALLEY",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85622-3596",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "928-852-0002",
"PracticeLocationAddressFaxNumber": "928-852-0070",
"EnumerationDate": "10/02/2014",
"LastUpdateDate": "03/04/2026",
"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": "73401",
"LicenseNumberStateCode": "NM",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "AP5639",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "AP5639",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "73401",
"LicenseNumberStateCode": "NM",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}