{
"Npi": {
"NPI": "1912945221",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "X",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "THOMAS",
"FirstName": "BERNICE",
"MiddleName": "DELORES",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "SOCIAL WORKER",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1933 N 73RD TER",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KANSAS CITY",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66112-2315",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "913-682-2000",
"MailingAddressFaxNumber": "913-758-4219",
"FirstLinePracticeLocationAddress": "DD EISENHOWER VETERANS AFFAIRS MEDICAL CENTER",
"SecondLinePracticeLocationAddress": "4101 S. 4TH ST. TRAFFICWAY",
"PracticeLocationAddressCityName": "LEAVENWORTH",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "66048",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "913-682-2000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/02/2006",
"LastUpdateDate": "07/08/2007",
"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": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "LMSW 577",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}