{
"Npi": {
"NPI": "1942721360",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KREEGER",
"FirstName": "LAURA",
"MiddleName": "BOWERS",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "11007 73RD RD APT 5M",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FOREST HILLS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11375-6357",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "484-221-0858",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4701 QUEENS BLVD STE 303",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SUNNYSIDE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11104-1622",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-707-3434",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/06/2017",
"LastUpdateDate": "03/03/2026",
"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": "363LP0200X",
"TaxonomyName": "Pediatric Nurse Practitioner",
"LicenseNumber": "F382821",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "163W00000X",
"TaxonomyName": "Registered Nurse",
"LicenseNumber": "717780-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LP0200X",
"TaxonomyName": "Pediatric Nurse Practitioner",
"LicenseNumber": "382821",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}