{
"Npi": {
"NPI": "1891340527",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MOWRY",
"FirstName": "MORIAH",
"MiddleName": "LYNN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "CRNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KROMER",
"OtherFirstName": "MORIAH",
"OtherMiddleName": "LYNN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "765 W VINE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOUNT PLEASANT",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15666-1423",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "724-961-0099",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "500 W BERKELEY ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "UNIONTOWN",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "15401-5514",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "724-961-0099",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/08/2019",
"LastUpdateDate": "09/15/2022",
"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": "SP020543",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}