{"npi":"1124151014","type":"NPI-1","status":"active","name":{"display":"Dr. Wanna Prommart PSYD","other":[],"first":"WANNA","last":"PROMMART","credential":"PSYD"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":true,"state":"VA","license":"0810003512"}]},"addresses":[{"purpose":"LOCATION","street_1":"205 S WHITING ST","city":"ALEXANDRIA","state":"VA","postal_code":"223042227","country_code":"US","street_2":"SUITE 601","phone":"5717228872","fax":"7032128407"},{"purpose":"MAILING","street_1":"491 NAYLOR PL","city":"ALEXANDRIA","state":"VA","postal_code":"223042227","country_code":"US","phone":"5717228872"}],"license":{"state":"VA","number":"0810003512"},"identifiers":[{"type_code":"01","label":"Other","value":"11551672","state":null,"issuer":"ACQH"},{"type_code":"01","label":"Other","value":"199902","state":null,"issuer":"ANTHEM BLUE CROSS BLUE SH"},{"type_code":"01","label":"Other","value":"3403124","state":null,"issuer":"CIGNA"},{"type_code":"01","label":"Other","value":"361274","state":null,"issuer":"MHN"},{"type_code":"01","label":"Other","value":"027984","state":null,"issuer":"VMC BEHAVIOR HEALTH SERVI"},{"type_code":"01","label":"Other","value":"3769","state":null,"issuer":"CAREFIRST BLUE CROSS BLUE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-13","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}