{
"Npi": {
"NPI": "1841180304",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "VISITACION-VORAS",
"FirstName": "TIFANE",
"MiddleName": "DE LOS REYES",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MSN BSN RN PMHNP-BC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "VORAS",
"OtherFirstName": "TIFANE",
"OtherMiddleName": "R",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "MSN BSN RN PMHNP-BC",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "2 CENTER AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TRAPPE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19426-2047",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "856-434-2975",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2 CENTER AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TRAPPE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19426-2047",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "856-434-2975",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/07/2025",
"LastUpdateDate": "07/07/2025",
"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": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "SP033190",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}