{"npi":"1124052279","type":"NPI-2","status":"active","name":{"display":"Wa Foote Memorial Hospital, INC","other":[],"organization_name":"WA FOOTE MEMORIAL HOSPITAL, INC","authorised_official":"Mark Smith"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"MI","license":null},{"code":"367A00000X","description":"Advanced Practice Midwife","primary":false,"state":null,"license":null},{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"205 N EAST AVE","city":"JACKSON","state":"MI","postal_code":"492011753","country_code":"US","phone":"5177884800"},{"purpose":"MAILING","street_1":"PO BOX 67000","city":"DETROIT","state":"MI","postal_code":"482672728","country_code":"US","street_2":"DEPARTMENT 272801","phone":"5178417482","fax":"5178417476"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"CC5829","state":"MI","issuer":"RR MEDICARE"},{"type_code":"01","label":"Other","value":"500C810310","state":"MI","issuer":"BCBSM/CNP"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-11","last_updated":"2024-03-06","_meta":{"source":"NPPES","snapshot_date":"2024-03-06","doc_url":"https://findmynpi.com/api"}}