{
"Npi": {
"NPI": "1982602751",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "STEEGE",
"FirstName": "TERRY",
"MiddleName": "L.",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "NP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WENNERSTEN",
"OtherFirstName": "TERRY",
"OtherMiddleName": "L.",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "NP",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "N10565 GRANDVIEW LANE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "IRONWOOD",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49938-9622",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "906-932-1500",
"MailingAddressFaxNumber": "906-932-5091",
"FirstLinePracticeLocationAddress": "N10565 GRANDVIEW LANE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "IRONWOOD",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49938-9622",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "906-932-1500",
"PracticeLocationAddressFaxNumber": "906-932-5091",
"EnumerationDate": "07/14/2005",
"LastUpdateDate": "05/27/2010",
"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": "363LW0102X",
"TaxonomyName": "Women's Health Nurse Practitioner",
"LicenseNumber": "4704148492",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "4704148492",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}