{"npi":"1023138161","type":"NPI-1","status":"active","name":{"display":"Larry Wellman","other":[{"code":"5","type":"Also known as","value":"WELLMAN, FREIDA"}],"first":"LARRY","last":"WELLMAN"},"specialty":{"primary_taxonomy":"177F00000X","primary_taxonomy_description":"Lodging Provider","slug":"lodging-provider","schema_org_specialty":null,"all":[{"code":"177F00000X","description":"Lodging Provider","primary":true,"state":"NC","license":"MHL098077"},{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":false,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"410 GARNER ST W","city":"WILSON","state":"NC","postal_code":"278932835","country_code":"US","phone":"2522374242","fax":"2522378917"},{"purpose":"MAILING","street_1":"410 GARNER ST W","city":"WILSON","state":"NC","postal_code":"278932835","country_code":"US","street_2":"P.O. BOX 694","phone":"2522374242","fax":"2522378917"}],"license":{"state":"NC","number":"MHL098077"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8301975B","state":"NC","issuer":null},{"type_code":"05","label":"Medicaid","value":"7804567","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-30","last_updated":"2008-06-10","_meta":{"source":"NPPES","snapshot_date":"2008-06-10","doc_url":"https://findmynpi.com/api"}}