{
"Npi": {
"NPI": "1912140856",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LUSK ENTERPRISES PS INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "402 NORTH MAIN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PE ELL",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98572",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-291-3232",
"MailingAddressFaxNumber": "360-291-3144",
"FirstLinePracticeLocationAddress": "402 NORTH MAIN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PE ELL",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98572",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-291-3232",
"PracticeLocationAddressFaxNumber": "360-291-3144",
"EnumerationDate": "04/08/2009",
"LastUpdateDate": "04/08/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LUSK",
"AuthorizedOfficialFirstName": "LAURA",
"AuthorizedOfficialMiddleName": "LEE",
"AuthorizedOfficialTitle": "ARNP/OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "ARNP/OWNER",
"AuthorizedOfficialTelephoneNumber": "360-291-3232",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}