{
"Npi": {
"NPI": "1912188699",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MORRIS-BLAKE",
"FirstName": "DANA",
"MiddleName": "ANN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "NP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MORRIS",
"OtherFirstName": "DANA",
"OtherMiddleName": "ANN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MAIDEN - 10/16/98",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 202926",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DENVER",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80220-8926",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "720-277-9860",
"MailingAddressFaxNumber": "888-341-0822",
"FirstLinePracticeLocationAddress": "91 NEWARK ST",
"SecondLinePracticeLocationAddress": "UNIT D",
"PracticeLocationAddressCityName": "AURORA",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80012-1629",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "720-525-7997",
"PracticeLocationAddressFaxNumber": "888-384-7012",
"EnumerationDate": "11/21/2007",
"LastUpdateDate": "01/02/2025",
"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": "101Y00000X",
"TaxonomyName": "Counselor",
"LicenseNumber": "NLC.0111278",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "NP4933",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}