{
"Npi": {
"NPI": "1962644831",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GERMAN",
"FirstName": "HOLLY",
"MiddleName": "IVALON",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "N.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ELMORE GERMANN",
"OtherFirstName": "HOLLY",
"OtherMiddleName": "IVALON",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "N.D.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2807 CRYSTAL CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FORT COLLINS",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80525-2317",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "832-330-3522",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "313 W DRAKE RD STE 210",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FORT COLLINS",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80526",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "970-833-1202",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/24/2009",
"LastUpdateDate": "05/21/2018",
"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": "207QA0505X",
"TaxonomyName": "Adult Medicine Physician",
"LicenseNumber": "ND360",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207QA0505X",
"TaxonomyName": "Adult Medicine Physician",
"LicenseNumber": "ND147",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "175F00000X",
"TaxonomyName": "Naturopath",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}