{
"Npi": {
"NPI": "1992594659",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "POJAS-SUAN",
"FirstName": "JESSICA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LMT, HEALTH COACH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "POJAS",
"OtherFirstName": "JESSICA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "94-332 LELEAKA ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MILILANI",
"MailingAddressStateName": "HI",
"MailingAddressPostalCode": "96789-2213",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "95-221 KIPAPA DR STE B1-12",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MILILANI",
"PracticeLocationAddressStateName": "HI",
"PracticeLocationAddressPostalCode": "96789-1199",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "808-859-4499",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/01/2025",
"LastUpdateDate": "05/01/2025",
"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": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "MAT-16152",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}