{
"Npi": {
"NPI": "1861739641",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RYAN",
"FirstName": "ANNA",
"MiddleName": "S",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "APN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HASIK",
"OtherFirstName": "ANNA",
"OtherMiddleName": "S",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "APN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "787 GRACELAND AVE UNIT 604B",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DES PLAINES",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60016-8632",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "224-567-8219",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2160 S 1ST AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MAYWOOD",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60153-3328",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-216-3208",
"PracticeLocationAddressFaxNumber": "708-216-4948",
"EnumerationDate": "01/13/2013",
"LastUpdateDate": "01/13/2013",
"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": "363LA2100X",
"TaxonomyName": "Acute Care Nurse Practitioner",
"LicenseNumber": "209009917",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}