{
"Npi": {
"NPI": "1891075073",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WEBER",
"FirstName": "AMY",
"MiddleName": "ELLEN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "FNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KUEHL",
"OtherFirstName": "AMY",
"OtherMiddleName": "ELLEN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "FNP",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "8767 SCHAAWE LAKE 24TH LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RAPID RIVER",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49878-9583",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "906-474-0217",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "703 MCEWAN ST.",
"SecondLinePracticeLocationAddress": "MIDMICHIGAN MEDICAL CENTER",
"PracticeLocationAddressCityName": "CLARE",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48617",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "989-802-5000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/19/2011",
"LastUpdateDate": "07/07/2014",
"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": "4704205280",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}