{"npi":"1124111356","type":"NPI-2","status":"active","name":{"display":"North Willow Family Medicine LLC","other":[],"organization_name":"NORTH WILLOW FAMILY MEDICINE LLC","authorised_official":"Eric Fox"},"specialty":{"primary_taxonomy":"261QP2300X","primary_taxonomy_description":"Primary Care Clinic","slug":"primary-care-clinic","schema_org_specialty":"PrimaryCare","all":[{"code":"261QP2300X","description":"Primary Care Clinic","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"428 N WILLOW AVE","city":"COOKEVILLE","state":"TN","postal_code":"385012339","country_code":"US","phone":"9313727788","fax":"0313727799"},{"purpose":"MAILING","street_1":"428 N WILLOW AVE","city":"COOKEVILLE","state":"TN","postal_code":"385012339","country_code":"US","phone":"9313727788","fax":"0313727799"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"3883239","state":"TN","issuer":null},{"type_code":"01","label":"Other","value":"4071388","state":"TN","issuer":"BCBS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-10-02","last_updated":"2012-05-02","_meta":{"source":"NPPES","snapshot_date":"2012-05-02","doc_url":"https://findmynpi.com/api"}}