{"npi":"1023266012","type":"NPI-1","status":"active","name":{"display":"Mr. Fredrick Wilkins RN","other":[],"first":"FREDRICK","last":"WILKINS","middle":"RYAN","credential":"RN"},"specialty":{"primary_taxonomy":"163WM0705X","primary_taxonomy_description":"Medical-Surgical Registered Nurse","slug":"medical-surgical-registered-nurse","schema_org_specialty":null,"all":[{"code":"163WM0705X","description":"Medical-Surgical Registered Nurse","primary":true,"state":"OR","license":"079043837RN"}]},"addresses":[{"purpose":"LOCATION","street_1":"913 GARDEN VALLEY BLVD","city":"ROSEBURG","state":"OR","postal_code":"974716523","country_code":"US","phone":"5414401000","fax":"5416773189"},{"purpose":"MAILING","street_1":"207 CAMINO NINA AVE","city":"ROSEBURG","state":"OR","postal_code":"974719694","country_code":"US","phone":"5414401000","fax":"5416773189"}],"license":{"state":"OR","number":"079043837RN"},"identifiers":[{"type_code":"01","label":"Other","value":"079043837RN","state":"OR","issuer":"OREGON STATE BOARD OF NURSING LICENSE, RN"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-09-03","last_updated":"2008-09-03","_meta":{"source":"NPPES","snapshot_date":"2008-09-03","doc_url":"https://findmynpi.com/api"}}