{"npi":"1033112362","type":"NPI-2","status":"active","name":{"display":"Crab Orchard Family Practice Clinic, Inc.","other":[],"organization_name":"CRAB ORCHARD FAMILY PRACTICE CLINIC, INC.","authorised_official":"Robert Carter"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"KY","license":"3630P"}]},"addresses":[{"purpose":"LOCATION","street_1":"207 MAIN ST","city":"CRAB ORCHARD","state":"KY","postal_code":"404199697","country_code":"US","phone":"6063557300","fax":"6063557310"},{"purpose":"MAILING","street_1":"PO BOX 1125","city":"CORBIN","state":"KY","postal_code":"407021125","country_code":"US","phone":"6065280283","fax":"6065288422"}],"license":{"state":"KY","number":"3630P"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"35-001353","state":"KY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-05-31","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}