{
"Npi": {
"NPI": "1942892922",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BROWN",
"FirstName": "CHRISTOPHER",
"MiddleName": "M",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "MSN, RN, LSS-LL",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "BUILDING 36029",
"SecondLineMailingAddress": "58TH STREET",
"MailingAddressCityName": "FORT CAVAZOS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76544-5095",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "254-287-7169",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "BUILDING 36029",
"SecondLinePracticeLocationAddress": "58TH STREET",
"PracticeLocationAddressCityName": "FORT CAVAZOS",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76544-5095",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "254-287-7169",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/10/2021",
"LastUpdateDate": "02/03/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "163WP2201X",
"TaxonomyName": "Ambulatory Care Registered Nurse",
"LicenseNumber": "728474",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "163WA2000X",
"TaxonomyName": "Administrator Registered Nurse",
"LicenseNumber": "728474",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}