{
"Npi": {
"NPI": "1871520429",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BEAM",
"FirstName": "LARONDA",
"MiddleName": "COLLINS",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "FNP-BC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "COLLLINS",
"OtherFirstName": "LARONDA",
"OtherMiddleName": "GAYLE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "APRN, RN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 5777",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MARYVILLE",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37802-5777",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "865-980-4897",
"MailingAddressFaxNumber": "865-977-4796",
"FirstLinePracticeLocationAddress": "907 E LAMAR ALEXANDER PKWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MARYVILLE",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37804-5015",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "865-980-4897",
"PracticeLocationAddressFaxNumber": "865-977-4796",
"EnumerationDate": "06/27/2006",
"LastUpdateDate": "06/05/2013",
"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": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "APN0000007593",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}