{
"Npi": {
"NPI": "1972192284",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ROWLAND",
"FirstName": "AMANDA",
"MiddleName": "BETH",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DODDS",
"OtherFirstName": "AMANDA",
"OtherMiddleName": "BETH",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "108 REBECCA RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOODY",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76557-3546",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "254-722-8424",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1821 S VALLEY MILLS DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WACO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76711-2118",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "254-757-3344",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/12/2021",
"LastUpdateDate": "01/12/2021",
"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": "183700000X",
"TaxonomyName": "Pharmacy Technician",
"LicenseNumber": null,
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}