{"npi":"1023047149","type":"NPI-1","status":"active","name":{"display":"Susan Self MD","other":[],"first":"SUSAN","last":"SELF","middle":"MICHELLE","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"LA","license":"023219"}]},"addresses":[{"purpose":"LOCATION","street_1":"8001 YOUREE DR","city":"SHREVEPORT","state":"LA","postal_code":"711152302","country_code":"US","street_2":"SUITE 540","phone":"3182123810","fax":"3182123815"},{"purpose":"MAILING","street_1":"8001 YOUREE DR","city":"SHREVEPORT","state":"LA","postal_code":"711152302","country_code":"US","street_2":"SUITE 540","phone":"3182123810","fax":"3182123815"}],"license":{"state":"LA","number":"023219"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1495590","state":"LA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041117000969","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"LA","pac_id":"2466416599"}]},"enumeration_date":"2006-07-01","last_updated":"2007-12-18","_meta":{"source":"NPPES","snapshot_date":"2007-12-18","doc_url":"https://findmynpi.com/api"}}