{
"Npi": {
"NPI": "1962545731",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "AMAKER",
"FirstName": "IRIS",
"MiddleName": "D",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RN,MSN,WHNP, NP-C,",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2670 COBB PKWY SE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SMYRNA",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30080-3014",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "404-488-3482",
"MailingAddressFaxNumber": "678-813-4538",
"FirstLinePracticeLocationAddress": "2670 COBB PKWY SE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SMYRNA",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30080-3014",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "678-813-4638",
"PracticeLocationAddressFaxNumber": "770-955-8787",
"EnumerationDate": "02/14/2007",
"LastUpdateDate": "11/10/2016",
"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": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "NP041284",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "363LW0102X",
"TaxonomyName": "Women's Health Nurse Practitioner",
"LicenseNumber": "NP041284",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "FO804127",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}