{
"Npi": {
"NPI": "1992595425",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "AMARO",
"FirstName": "EBONE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RN,CBC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FORBES",
"OtherFirstName": "EBONE",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "RN,CBC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3910 N LAKE RIDGE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WICHITA",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "67205-5206",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "448-200-8570",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3910 N LAKE RIDGE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WICHITA",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "67205-5206",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "448-200-8570",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/08/2025",
"LastUpdateDate": "05/08/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "X",
"Gender": null,
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "163WL0100X",
"TaxonomyName": "Lactation Consultant (Registered Nurse)",
"LicenseNumber": "9560179",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}