{"npi":"1033529367","type":"NPI-2","status":"active","name":{"display":"Sunnyside Emergency Group A Professional LLC","other":[],"organization_name":"SUNNYSIDE EMERGENCY GROUP A PROFESSIONAL LLC","authorised_official":"Stephen Nichols"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":null,"license":null},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1016 TACOMA AVE","city":"SUNNYSIDE","state":"WA","postal_code":"989442263","country_code":"US","phone":"8008939698"},{"purpose":"MAILING","street_1":"200 CORPORATE BLVD","city":"LAFAYETTE","state":"LA","postal_code":"705083870","country_code":"US","phone":"8008939698"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"G8928747","state":"WA","issuer":"MEDICARE PIN"},{"type_code":"05","label":"Medicaid","value":"2038337","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20140623002600","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WA","pac_id":"0941424451"}]},"enumeration_date":"2014-05-08","last_updated":"2022-03-23","_meta":{"source":"NPPES","snapshot_date":"2022-03-23","doc_url":"https://findmynpi.com/api"}}