{
"Npi": {
"NPI": "1942571880",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KLIMENKO",
"FirstName": "ALENA",
"MiddleName": "A",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LMP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KEMPF (CURRENT NAME)",
"OtherFirstName": "ALENA",
"OtherMiddleName": "TRIFONOVA",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LMP",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "8303 21ST ST NE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKE STEVENS",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98258",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-478-7093",
"MailingAddressFaxNumber": "425-822-2920",
"FirstLinePracticeLocationAddress": "12811 8TH- AVE W",
"SecondLinePracticeLocationAddress": "SUITE B-103",
"PracticeLocationAddressCityName": "EVERETT",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98204",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "206-478-7093",
"PracticeLocationAddressFaxNumber": "425-822-2920",
"EnumerationDate": "01/24/2012",
"LastUpdateDate": "06/16/2015",
"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": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MA60247270",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "MA60247270",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}