{
"Npi": {
"NPI": "1972539864",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FRIDDELL",
"FirstName": "KAREN",
"MiddleName": "S",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CNM",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FRANZONE",
"OtherFirstName": "KAREN",
"OtherMiddleName": "SUE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "CNM",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "PO BOX 600",
"SecondLineMailingAddress": "167 NORTH MAIN STREET",
"MailingAddressCityName": "TUBA CITY",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "86045-0600",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "928-283-2501",
"MailingAddressFaxNumber": "928-283-2677",
"FirstLinePracticeLocationAddress": "167 NORTH MAIN STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TUBA CITY",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "86045-0600",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "928-283-2501",
"PracticeLocationAddressFaxNumber": "928-283-2677",
"EnumerationDate": "06/23/2006",
"LastUpdateDate": "06/28/2011",
"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": "163W00000X",
"TaxonomyName": "Registered Nurse",
"LicenseNumber": "RN28223",
"LicenseNumberStateCode": "NV",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "APN000610",
"LicenseNumberStateCode": "NV",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "367A00000X",
"TaxonomyName": "Advanced Practice Midwife",
"LicenseNumber": "9977",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}