{
"Npi": {
"NPI": "1922841022",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HAIR",
"FirstName": "GARRETT",
"MiddleName": "WILLIAM",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PMHNP-BC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 655",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALPENA",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49707-0655",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "231-348-9900",
"MailingAddressFaxNumber": "989-358-3780",
"FirstLinePracticeLocationAddress": "3434 M 119 STE C",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HARBOR SPRINGS",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49740-9373",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "231-348-9900",
"PracticeLocationAddressFaxNumber": "989-358-3780",
"EnumerationDate": "06/17/2024",
"LastUpdateDate": "06/17/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "4704418251",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}