{
"Npi": {
"NPI": "1902395148",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HOLLAND",
"FirstName": "ELIZABETH",
"MiddleName": "E",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RN CEN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "15103 OYSTER SHELL DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MILTON",
"MailingAddressStateName": "DE",
"MailingAddressPostalCode": "19968-3792",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "302-313-5888",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "BEEBE HEALTHCARE MEDICAL CENTER",
"SecondLinePracticeLocationAddress": "424 SAVANNA ROAD",
"PracticeLocationAddressCityName": "LEWES",
"PracticeLocationAddressStateName": "DE",
"PracticeLocationAddressPostalCode": "19958-0226",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "302-645-3100",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/03/2018",
"LastUpdateDate": "05/03/2018",
"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": "163WE0003X",
"TaxonomyName": "Emergency Registered Nurse",
"LicenseNumber": "L1-0048571",
"LicenseNumberStateCode": "DE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}