{
"Npi": {
"NPI": "1912186008",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PRIYA",
"FirstName": "LAKSHMI",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "RAO",
"OtherFirstName": "LAXMI",
"OtherMiddleName": "DEEPAK",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MD",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1500 CONCORD TER",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SUNRISE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33323-2815",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-243-3839",
"MailingAddressFaxNumber": "954-858-0404",
"FirstLinePracticeLocationAddress": "12040 NE 128TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KIRKLAND",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98034-3013",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "713-321-8905",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/25/2007",
"LastUpdateDate": "12/31/2025",
"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": "2080N0001X",
"TaxonomyName": "Neonatal-Perinatal Medicine Physician",
"LicenseNumber": "R7091",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "2080N0001X",
"TaxonomyName": "Neonatal-Perinatal Medicine Physician",
"LicenseNumber": "ME104127",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2080N0001X",
"TaxonomyName": "Neonatal-Perinatal Medicine Physician",
"LicenseNumber": "MD60949001",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}