{
"Npi": {
"NPI": "1912293739",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GARNER",
"FirstName": "MARGARET",
"MiddleName": "JOAN",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.O.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "331 SIJAN AVENUE",
"SecondLineMailingAddress": "509TH MEDICAL GROUP, FAMILY PRACTICE",
"MailingAddressCityName": "WHITEMAN AFB",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "65305-5021",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "660-687-3554",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "331 SIJEN AVE",
"SecondLinePracticeLocationAddress": "509TH MEDICAL GROUP, FAMILY PRACTICE",
"PracticeLocationAddressCityName": "WHITEMAN AFB",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "65305-1269",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "660-687-3554",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/20/2011",
"LastUpdateDate": "07/22/2014",
"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": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "125.060210",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "992",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}