{
  "npi": 1003000605,
  "replacementNpi": null,
  "enumeratedAt": "2007-08-28T07:00:00.000Z",
  "certifiedAt": "2023-09-05T07:00:00.000Z",
  "deactivatedAt": null,
  "deactivationReason": null,
  "reactivatedAt": null,
  "prefix": "MRS.",
  "firstName": "DIANE",
  "middleName": "ELIZABETH",
  "lastName": "FREEMAN",
  "suffix": null,
  "otherNames": [
    {
      "firstName": "DIANE",
      "lastName": "DEAVER",
      "middleName": "ELIZABETH",
      "code": "1",
      "prefix": "MISS"
    }
  ],
  "credentials": [
    "OTR"
  ],
  "isSoleProprietor": false,
  "gender": "F",
  "taxonomyCode": "225XN1300X",
  "addresses": [
    {
      "address1": "3058 N STATE RD STE E",
      "city": "DAVISON",
      "country": "US",
      "phoneNumber": "8106526315",
      "purpose": "L",
      "state": "MI",
      "zipCode": "484233508",
      "faxNumber": ""
    },
    {
      "address1": "9010 LIGHTHOUSE DR",
      "city": "LAKE",
      "country": "US",
      "phoneNumber": "8102521932",
      "purpose": "M",
      "state": "MI",
      "zipCode": "486328800",
      "faxNumber": ""
    }
  ],
  "taxonomyGrouping": "Respiratory, Developmental, Rehabilitative and Restorative Service Providers",
  "taxonomy": "Occupational Therapist",
  "taxonomySpecialization": "Neurorehabilitation",
  "taxonomyDefinition": null,
  "numActions": null,
  "totalPaid": null,
  "openPaymentsId": null,
  "licenses": [
    {
      "nppesLicenseRecordId": 1922738,
      "license": "5201003946",
      "cleanLicense": null,
      "state": "MI",
      "stateLicenseRecordId": null,
      "firstName": null,
      "middleName": null,
      "lastName": null,
      "suffix": null,
      "professionCode": null,
      "rankCode": null,
      "number": null,
      "addresses": null,
      "email": null,
      "status": null,
      "statusEffectiveAt": null,
      "isActive": null,
      "expiredAt": null,
      "numActions": null,
      "actions": null,
      "profession": null
    }
  ],
  "hasStateMatch": false
}