{"npi":"1104566199","type":"NPI-1","status":"active","name":{"display":"Anna Ballenger MD","other":[{"code":"1","type":"Formerly known as","value":"SKRADE, ANNA"}],"first":"ANNA","last":"BALLENGER","middle":"ELISE","credential":"MD"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"MO","license":"2023019866"},{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":"MO","license":null},{"code":"207N00000X","description":"Dermatology","primary":true,"state":"MO","license":"2024024315"}]},"addresses":[{"purpose":"LOCATION","street_1":"1 HOSPITAL DR # DC043.00","city":"COLUMBIA","state":"MO","postal_code":"652123748","country_code":"US","phone":"5738821767"},{"purpose":"MAILING","street_1":"1 HOSPITAL DR # DC043.00","city":"COLUMBIA","state":"MO","postal_code":"652123748","country_code":"US","phone":"5738821767"}],"license":{"state":"MO","number":"2024024315"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230705002012","type_code":"33-11","type_desc":"ORDER AND REFERRING ONLY - INTERNAL MEDICINE","state":"MO","pac_id":"9335508639"}]},"enumeration_date":"2022-03-30","last_updated":"2024-06-26","_meta":{"source":"NPPES","snapshot_date":"2024-06-26","doc_url":"https://findmynpi.com/api"}}