{"npi":"1134880487","type":"NPI-2","status":"active","name":{"display":"Interventional Spine And Pain Institute LLC","other":[],"organization_name":"INTERVENTIONAL SPINE AND PAIN INSTITUTE LLC","authorised_official":"Phaedra Shudra"},"specialty":{"primary_taxonomy":"208VP0014X","primary_taxonomy_description":"Pain Medicine","slug":"pain-medicine","schema_org_specialty":"Anesthesia","all":[{"code":"207L00000X","description":"Anesthesiology","primary":false,"state":null,"license":null},{"code":"207RH0002X","description":"Hospice and Palliative Medicine (Internal Medicine) Physician","primary":false,"state":null,"license":null},{"code":"207LP2900X","description":"Anesthesiology, Pain Medicine","primary":false,"state":null,"license":null},{"code":"208VP0000X","description":"Pain Medicine Physician","primary":false,"state":null,"license":null},{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":false,"state":null,"license":null},{"code":"208VP0014X","description":"Pain Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"777 37TH ST STE C101","city":"VERO BEACH","state":"FL","postal_code":"329607301","country_code":"US","phone":"9083038044"},{"purpose":"MAILING","street_1":"777 37TH ST STE C101","city":"VERO BEACH","state":"FL","postal_code":"329607301","country_code":"US","phone":"7723601997","fax":"7724923541"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20220303001046","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"2365836582"},{"enrlmt_id":"O20220817001043","type_code":"30-72","type_desc":"DME SUPPLIER - PHYSICIAN - INTERVENTIONAL PAIN MANAGEMENT","state":"FL","pac_id":"2365836582"}]},"enumeration_date":"2022-01-07","last_updated":"2025-09-26","_meta":{"source":"NPPES","snapshot_date":"2025-09-26","doc_url":"https://findmynpi.com/api"}}