{"npi":"1124038724","type":"NPI-1","status":"active","name":{"display":"Mary Michener MD","other":[],"first":"MARY","last":"MICHENER","middle":"S","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"MN","license":"38452"}]},"addresses":[{"purpose":"LOCATION","street_1":"859 MANKATO AVENUE","city":"WINONA","state":"MN","postal_code":"55987","country_code":"US","street_2":"WINONA CLINIC LTD","phone":"5074543680","fax":"5074577672"},{"purpose":"MAILING","street_1":"859 MANKATO AVENUE","city":"WINONA","state":"MN","postal_code":"55987","country_code":"US","street_2":"WINONA CLINIC LTD","phone":"5074543680","fax":"5074577672"}],"license":{"state":"MN","number":"38452"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"636227300","state":"MN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080408000502","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"MN","pac_id":"8224115795"}]},"enumeration_date":"2006-08-08","last_updated":"2011-12-13","_meta":{"source":"NPPES","snapshot_date":"2011-12-13","doc_url":"https://findmynpi.com/api"}}