{
"Npi": {
"NPI": "1881794816",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "YANKAUSKAS",
"FirstName": "ELLEN",
"MiddleName": "LOUISE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MD MPH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7619 MORRO RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ATASCADERO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93422-4433",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "805-461-5800",
"MailingAddressFaxNumber": "805-464-4461",
"FirstLinePracticeLocationAddress": "7619 MORRO RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ATASCADERO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93422-4433",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-461-5800",
"PracticeLocationAddressFaxNumber": "805-464-4461",
"EnumerationDate": "09/22/2006",
"LastUpdateDate": "02/18/2020",
"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": "2083P0901X",
"TaxonomyName": "Public Health & General Preventive Medicine Physician",
"LicenseNumber": "A44775",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "A44775",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}