{
"Npi": {
"NPI": "1932907342",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WILKINSON",
"FirstName": "TIFFANY",
"MiddleName": "LAYNE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "RUST",
"OtherFirstName": "TIFFANY",
"OtherMiddleName": "LAYNE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "38285 MCDOWELL DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SOLON",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44139-4684",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "803-315-4586",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "36000 EUCLID AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WILLOUGHBY",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44094-4625",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "440-953-9600",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/04/2025",
"LastUpdateDate": "03/04/2025",
"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": "363LA2100X",
"TaxonomyName": "Acute Care Nurse Practitioner",
"LicenseNumber": "APRN.CNP.0038810",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "APRN.CNP.0038810",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}