{
"Npi": {
"NPI": "1982982443",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MURPHY",
"FirstName": "STACY",
"MiddleName": "JEAN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PA-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MENNING",
"OtherFirstName": "STACY",
"OtherMiddleName": "JEAN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PA-C",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "6001 WESTOWN PKWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST DES MOINES",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "50266-7702",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "515-224-1414",
"MailingAddressFaxNumber": "515-224-5140",
"FirstLinePracticeLocationAddress": "6001 WESTOWN PKWY",
"SecondLinePracticeLocationAddress": "WEST DES MOINES",
"PracticeLocationAddressCityName": "WEST DES MOINES",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "50266-7702",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "515-224-1414",
"PracticeLocationAddressFaxNumber": "515-224-5140",
"EnumerationDate": "08/01/2011",
"LastUpdateDate": "11/27/2019",
"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": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "002229",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}