{"npi":"1053974337","type":"NPI-1","status":"active","name":{"display":"Mrs. Kellie Wall Rd, Cnsc, Cdn","other":[],"first":"KELLIE","last":"WALL","middle":"FAUGHANDER","credential":"RD, CNSC, CDN"},"specialty":{"primary_taxonomy":"133V00000X","primary_taxonomy_description":"Registered Dietitian","slug":"registered-dietitian","schema_org_specialty":null,"all":[{"code":"133V00000X","description":"Registered Dietitian","primary":true,"state":"NY","license":"1058216"}]},"addresses":[{"purpose":"LOCATION","street_1":"750 E ADAMS ST","city":"SYRACUSE","state":"NY","postal_code":"132102306","country_code":"US","phone":"2404901346"},{"purpose":"MAILING","street_1":"9105 ASHLEY LANDING DRIVE","city":"CLAY","state":"NY","postal_code":"13041","country_code":"US","phone":"2404901346"}],"license":{"state":"NY","number":"1058216"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-04-22","last_updated":"2024-02-26","_meta":{"source":"NPPES","snapshot_date":"2024-02-26","doc_url":"https://findmynpi.com/api"}}