{
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"EIN": null,
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"FirstName": "EMILIE",
"MiddleName": "E",
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"NameSuffix": null,
"Credential": "DC",
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"OtherLastName": "MCDONALD",
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"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "1 DEBRA CIR",
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"MailingAddressCityName": "AUGUSTA",
"MailingAddressStateName": "KS",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "316-350-7515",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "415 STATE ST STE 106",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AUGUSTA",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "67010-1105",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "316-350-7515",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/31/2019",
"LastUpdateDate": "01/27/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialFirstName": null,
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "01-06120",
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"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "14018",
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}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}