{
"Npi": {
"NPI": "1912486093",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FAMILIES 1ST OF DESOTO, LLC.",
"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": "127 W PRATT ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DE SOTO",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63020-2107",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "636-337-7800",
"MailingAddressFaxNumber": "636-586-2276",
"FirstLinePracticeLocationAddress": "127 W PRATT ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DE SOTO",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63020-2107",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "636-337-7800",
"PracticeLocationAddressFaxNumber": "636-586-2276",
"EnumerationDate": "08/09/2018",
"LastUpdateDate": "08/09/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "O'ROURKE",
"AuthorizedOfficialFirstName": "KATHLEEN",
"AuthorizedOfficialMiddleName": "MARIE",
"AuthorizedOfficialTitle": "OWNER/ANP",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "ANP",
"AuthorizedOfficialTelephoneNumber": "636-337-7800",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM1300X",
"TaxonomyName": "Multi-Specialty Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}