{
"Npi": {
"NPI": "1871842161",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DARAMOLA",
"FirstName": "OLUBUSOLA",
"MiddleName": "TEMIDAYO",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6080 S HULEN ST",
"SecondLineMailingAddress": "SUITE 360 PMB 229",
"MailingAddressCityName": "FORT WORTH",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76132-2622",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "864-426-2306",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "206 WALLS DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CLEBURNE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76033-4045",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "817-645-0668",
"PracticeLocationAddressFaxNumber": "817-645-0720",
"EnumerationDate": "09/03/2012",
"LastUpdateDate": "06/02/2013",
"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": "824556",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}