{
"Npi": {
"NPI": "1861597056",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MCCANN-SHELTON",
"FirstName": "CATHERINE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "11803 JEFFERSON AVE",
"SecondLineMailingAddress": "SUITE 230",
"MailingAddressCityName": "NEWPORT NEWS",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23606-2565",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "757-534-7701",
"MailingAddressFaxNumber": "757-534-7708",
"FirstLinePracticeLocationAddress": "400 SENTARA CIR",
"SecondLinePracticeLocationAddress": "SUITE 103",
"PracticeLocationAddressCityName": "WILLIAMSBURG",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23188-5716",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "757-534-7701",
"PracticeLocationAddressFaxNumber": "757-534-7708",
"EnumerationDate": "09/13/2006",
"LastUpdateDate": "12/13/2012",
"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": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "110001896",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}