{
"Npi": {
"NPI": "1922891928",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ARAISA-HERRERA",
"FirstName": "VANESSA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CSN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "510 KEYSTONE BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PATTERSON",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95363-8861",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "209-895-7700",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1108 WARD AVE STE B10",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PATTERSON",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95363-8529",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "209-648-0560",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/23/2025",
"LastUpdateDate": "01/03/2026",
"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": "163WS0200X",
"TaxonomyName": "School Registered Nurse",
"LicenseNumber": "95095845",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "95095845",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}