{"npi":"1003836701","type":"NPI-1","status":"active","name":{"display":"Roosevelt Smith Pac, Atr","other":[],"first":"ROOSEVELT","last":"SMITH","credential":"PAC, ATR"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"MN","license":"9155"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"WI","license":"500023"}]},"addresses":[{"purpose":"LOCATION","street_1":"62 E 3RD ST","city":"WINONA","state":"MN","postal_code":"559873481","country_code":"US","street_2":"SUITE 3","phone":"5074744770","fax":"5074744774"},{"purpose":"MAILING","street_1":"62 E 3RD ST","city":"WINONA","state":"MN","postal_code":"559873481","country_code":"US","street_2":"SUITE 3","phone":"5074744770","fax":"5074744774"}],"license":{"state":"MN","number":"9155"},"identifiers":[{"type_code":"01","label":"Other","value":"0121686","state":"MN","issuer":"MEDICA"},{"type_code":"01","label":"Other","value":"679G2SM","state":"MN","issuer":"BCBS MN"},{"type_code":"01","label":"Other","value":"HP32318","state":"MN","issuer":"HEALTH PARTNERS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-19","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}