{
"Npi": {
"NPI": "1982075313",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "VASEY",
"FirstName": "MATTHEW",
"MiddleName": "JOSEPH",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "221 KING ST STE 101",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MADISON",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53703-3419",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "608-898-4818",
"MailingAddressFaxNumber": "608-305-8730",
"FirstLinePracticeLocationAddress": "221 KING ST STE 101",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MADISON",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53703-3419",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "608-898-4818",
"PracticeLocationAddressFaxNumber": "608-307-8730",
"EnumerationDate": "10/12/2015",
"LastUpdateDate": "10/29/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"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": "209013380041399484",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}