{
"Npi": {
"NPI": "1942314786",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MAYER",
"FirstName": "MARGARETA",
"MiddleName": "M",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "FNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SHEA",
"OtherFirstName": "MARGARETA (MAILE)",
"OtherMiddleName": "M",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "FNP",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "5701 MAPLE AVE STE 100",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75235-6596",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-351-6600",
"MailingAddressFaxNumber": "214-351-5046",
"FirstLinePracticeLocationAddress": "5701 MAPLE AVE STE 100",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DALLAS",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75235-6596",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "214-351-6600",
"PracticeLocationAddressFaxNumber": "214-351-5046",
"EnumerationDate": "08/18/2006",
"LastUpdateDate": "07/08/2007",
"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": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "700517",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}