{"npi":"1134979495","type":"NPI-1","status":"active","name":{"display":"Ethan Mangum","other":[],"first":"ETHAN","last":"MANGUM","middle":"RAFAEL"},"specialty":{"primary_taxonomy":"390200000X","primary_taxonomy_description":"Student in an Organized Health Care Education/Training Program","slug":"student-in-an-organized-health-care-education-training-program","schema_org_specialty":null,"all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1172 W SERAPHIM CT","city":"LAYTON","state":"UT","postal_code":"840412213","country_code":"US","phone":"3854393790"},{"purpose":"MAILING","street_1":"1172 W SERAPHIM CT","city":"LAYTON","state":"UT","postal_code":"840412213","country_code":"US","phone":"3854393790"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-03-26","last_updated":"2024-03-26","_meta":{"source":"NPPES","snapshot_date":"2024-03-26","doc_url":"https://findmynpi.com/api"}}