{"npi":"1053372904","type":"NPI-1","status":"active","name":{"display":"Stefanie Ellison M.D.","other":[],"first":"STEFANIE","last":"ELLISON","middle":"R","credential":"M.D."},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"MO","license":"112705"}]},"addresses":[{"purpose":"LOCATION","street_1":"2301 HOLMES ST","city":"KANSAS CITY","state":"MO","postal_code":"641082640","country_code":"US","phone":"8164041536"},{"purpose":"MAILING","street_1":"2310 HOLMES ST","city":"KANSAS CITY","state":"MO","postal_code":"641082634","country_code":"US","street_2":"STE 800"}],"license":{"state":"MO","number":"112705"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"203987409","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100816000744","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"MO","pac_id":"3173657970"}]},"enumeration_date":"2006-03-30","last_updated":"2020-11-30","_meta":{"source":"NPPES","snapshot_date":"2020-11-30","doc_url":"https://findmynpi.com/api"}}