{
"Npi": {
"NPI": "1952159196",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MUTINDORI",
"FirstName": "FEBBIE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PMHNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "344 CLEVELAND AVE SE STE H",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TUMWATER",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98501-3342",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-489-1438",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1050 N ARGONNE RD STE 100",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SPOKANE VALLEY",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "99212-6011",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "509-209-8990",
"PracticeLocationAddressFaxNumber": "509-919-4877",
"EnumerationDate": "05/13/2024",
"LastUpdateDate": "07/03/2025",
"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": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "AP61551357",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "1159320",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}