{"npi":"1053594499","type":"NPI-2","status":"active","name":{"display":"Michelle L Wall LLC","other":[],"organization_name":"MICHELLE L WALL LLC","authorised_official":"Michelle Wall"},"specialty":{"primary_taxonomy":"251B00000X","primary_taxonomy_description":"Case Management Agency","slug":"case-management-agency","schema_org_specialty":null,"all":[{"code":"251B00000X","description":"Case Management Agency","primary":true,"state":"LA","license":"1313"}]},"addresses":[{"purpose":"LOCATION","street_1":"680 CENTERVILLE ST NE","city":"DENHAM SPRINGS","state":"LA","postal_code":"707263512","country_code":"US","phone":"2256674014","fax":"2256674886"},{"purpose":"MAILING","street_1":"PO BOX 1284","city":"DENHAM SPRINGS","state":"LA","postal_code":"707271284","country_code":"US","phone":"2256674014","fax":"2256674886"}],"license":{"state":"LA","number":"1313"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1479659","state":"LA","issuer":null},{"type_code":"05","label":"Medicaid","value":"1173509","state":"LA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-12-07","last_updated":"2007-12-07","_meta":{"source":"NPPES","snapshot_date":"2007-12-07","doc_url":"https://findmynpi.com/api"}}