{
"Npi": {
"NPI": "1932345733",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PACE",
"FirstName": "TRICIA",
"MiddleName": "ANN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "R.N",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HEILMAN",
"OtherFirstName": "TRICIA",
"OtherMiddleName": "ANN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "R.N",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "6675 WILDWOOD CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROBSTOWN",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78380-5323",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "361-384-9233",
"MailingAddressFaxNumber": "361-384-9233",
"FirstLinePracticeLocationAddress": "6675 WILDWOOD CIR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROBSTOWN",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78380-5323",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "361-384-9233",
"PracticeLocationAddressFaxNumber": "361-384-9233",
"EnumerationDate": "12/29/2008",
"LastUpdateDate": "12/29/2008",
"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": "163WW0000X",
"TaxonomyName": "Wound Care Registered Nurse",
"LicenseNumber": "644814",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}