{"npi":"1134799307","type":"NPI-1","status":"active","name":{"display":"Tiffany Mack M.S., Ccc-Slp","other":[],"first":"TIFFANY","last":"MACK","middle":"MICHELLE","credential":"M.S., CCC-SLP"},"specialty":{"primary_taxonomy":"235Z00000X","primary_taxonomy_description":"Speech-Language Pathology","slug":"speech-language-pathology","schema_org_specialty":"Speech","all":[{"code":"235Z00000X","description":"Speech-Language Pathology","primary":true,"state":"VA","license":"2202003051"}]},"addresses":[{"purpose":"LOCATION","street_1":"4560 PRINCESS ANNE RD","city":"VIRGINIA BEACH","state":"VA","postal_code":"234627905","country_code":"US","phone":"7574741249"},{"purpose":"MAILING","street_1":"812 PARKVIEW CT","city":"VIRGINIA BEACH","state":"VA","postal_code":"234566301","country_code":"US","phone":"7575755713"}],"license":{"state":"VA","number":"2202003051"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250305001727","type_code":"14-15","type_desc":"PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST","state":"VA","pac_id":"2668993734"}]},"enumeration_date":"2021-06-29","last_updated":"2021-06-29","_meta":{"source":"NPPES","snapshot_date":"2021-06-29","doc_url":"https://findmynpi.com/api"}}