{
"Npi": {
"NPI": "1982946141",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KLEEMAN-FORSTHUBER",
"FirstName": "LINDSAY",
"MiddleName": "TYROL",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KLEEMAN",
"OtherFirstName": "LINDSAY",
"OtherMiddleName": "TYROL",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MD",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "160 ALLEN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RUTLAND",
"MailingAddressStateName": "VT",
"MailingAddressPostalCode": "05701-4560",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "802-775-2937",
"MailingAddressFaxNumber": "802-773-2204",
"FirstLinePracticeLocationAddress": "160 ALLEN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RUTLAND",
"PracticeLocationAddressStateName": "VT",
"PracticeLocationAddressPostalCode": "05701-4560",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "802-775-2937",
"PracticeLocationAddressFaxNumber": "802-773-2204",
"EnumerationDate": "03/26/2013",
"LastUpdateDate": "07/27/2021",
"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": "207X00000X",
"TaxonomyName": "Orthopaedic Surgery Physician",
"LicenseNumber": "DR.0060342",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207X00000X",
"TaxonomyName": "Orthopaedic Surgery Physician",
"LicenseNumber": "042.0015319",
"LicenseNumberStateCode": "VT",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}