{
"Npi": {
"NPI": "1891423364",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "COOK-GARARD",
"FirstName": "JEANINE",
"MiddleName": "LEANORA",
"NamePrefix": null,
"NameSuffix": "X",
"Credential": "NP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "COOK-GARARD",
"OtherFirstName": "JEANINE",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "NP",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "1 WINDSOR GATE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DIX HILLS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11746-6756",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-768-3432",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1 WINDSOR GATE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DIX HILLS",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11746-6756",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-768-3432",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/11/2022",
"LastUpdateDate": "08/11/2022",
"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": "363LG0600X",
"TaxonomyName": "Gerontology Nurse Practitioner",
"LicenseNumber": "F340382-01",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}