{
"Npi": {
"NPI": "1982859575",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SMITH",
"FirstName": "ROBIN",
"MiddleName": "B",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "ROBIN SMITH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SMITH",
"OtherFirstName": "ROBIN",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "10 OLD JACKSON AVE",
"SecondLineMailingAddress": "#52",
"MailingAddressCityName": "HASTINGS ON HUDSON",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10706-3203",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-391-3354",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10 OLD JACKSON AVE",
"SecondLinePracticeLocationAddress": "#52",
"PracticeLocationAddressCityName": "HASTINGS ON HUDSON",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10706-3203",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-391-3354",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/24/2008",
"LastUpdateDate": "09/03/2015",
"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": "171W00000X",
"TaxonomyName": "Contractor",
"LicenseNumber": "002054-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "002054-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}