{"npi":"1003583238","type":"NPI-1","status":"active","name":{"display":"Eric Phelps","other":[],"first":"ERIC","last":"PHELPS","middle":"GERALD"},"specialty":{"primary_taxonomy":"311ZA0620X","primary_taxonomy_description":"Adult Care Home Facility","slug":"adult-care-home-facility","schema_org_specialty":null,"all":[{"code":"311ZA0620X","description":"Adult Care Home Facility","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"104 N 11TH ST","city":"CORNELL","state":"WI","postal_code":"547328106","country_code":"US","phone":"7152023586"},{"purpose":"MAILING","street_1":"104 N 11TH ST","city":"CORNELL","state":"WI","postal_code":"547328106","country_code":"US","phone":"7152023586"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"100178091","state":"WI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-08-25","last_updated":"2021-08-25","_meta":{"source":"NPPES","snapshot_date":"2021-08-25","doc_url":"https://findmynpi.com/api"}}