{
"Npi": {
"NPI": "1881695278",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HANDZEL",
"FirstName": "CHARLEEN",
"MiddleName": "MARIE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "D.P.M",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "821 PAISLEY DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FLOWER MOUND",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75028-7209",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "972-814-2427",
"MailingAddressFaxNumber": "972-691-7921",
"FirstLinePracticeLocationAddress": "1422 MAIN ST",
"SecondLinePracticeLocationAddress": "SUITE 249",
"PracticeLocationAddressCityName": "SOUTHLAKE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76092-7625",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "817-329-0013",
"PracticeLocationAddressFaxNumber": "817-410-1412",
"EnumerationDate": "08/09/2005",
"LastUpdateDate": "03/16/2013",
"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": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "1434",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}