{
"Npi": {
"NPI": "1952463879",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CRAUN",
"FirstName": "ANN",
"MiddleName": "MICHELE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PH.D",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4219 E 410 N",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RIGBY",
"MailingAddressStateName": "ID",
"MailingAddressPostalCode": "83442",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "208-745-0285",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4219 E 410 N",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RIGBY",
"PracticeLocationAddressStateName": "ID",
"PracticeLocationAddressPostalCode": "83442-5518",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "208-745-0285",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/15/2006",
"LastUpdateDate": "03/27/2013",
"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": "103T00000X",
"TaxonomyName": "Psychologist",
"LicenseNumber": "PY0371",
"LicenseNumberStateCode": "NV",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "103T00000X",
"TaxonomyName": "Psychologist",
"LicenseNumber": "PSY-202650",
"LicenseNumberStateCode": "ID",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "103T00000X",
"TaxonomyName": "Psychologist",
"LicenseNumber": "PSY1097",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}