{
"Npi": {
"NPI": "1861793242",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BISHOP",
"FirstName": "ELICIA",
"MiddleName": "DAWN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "REGISTERED NURSE",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KALUA",
"OtherFirstName": "ELICIA",
"OtherMiddleName": "DAWN",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "6424 ADOBE SPRINGS CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPARKS",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89436-6032",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "775-424-1721",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "480 GALLETTI WAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SPARKS",
"PracticeLocationAddressStateName": "NV",
"PracticeLocationAddressPostalCode": "89431-5564",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "775-688-1633",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/16/2010",
"LastUpdateDate": "11/16/2010",
"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": "225400000X",
"TaxonomyName": "Rehabilitation Practitioner",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}