{
"Npi": {
"NPI": "1831797661",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MAYER",
"FirstName": "RYANN",
"MiddleName": "ELIZBETH",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MPS, RDN, LDN, CSP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DIEHL",
"OtherFirstName": "RYANN",
"OtherMiddleName": "E",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "RDN, LDN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1603 CAPITOL AVE STE 411",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHEYENNE",
"MailingAddressStateName": "WY",
"MailingAddressPostalCode": "82001-4541",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "484-888-8545",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1603 CAPITOL AVE STE 411F",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHEYENNE",
"PracticeLocationAddressStateName": "WY",
"PracticeLocationAddressPostalCode": "82001-4569",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "484-888-8545",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/14/2020",
"LastUpdateDate": "05/19/2025",
"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": "133VN1004X",
"TaxonomyName": "Pediatric Nutrition Registered Dietitian",
"LicenseNumber": "DX3673",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}