{"npi":"1144970575","type":"NPI-1","status":"active","name":{"display":"Julie Funfrock DO","other":[{"code":"1","type":"Formerly known as","value":"WEILBAKER, JULIE ANN"}],"first":"JULIE","last":"FUNFROCK","middle":"ANN","credential":"DO"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"CO","license":"TL.0009112"},{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":"CO","license":"TL.0009112"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"IN","license":"02008137A"}]},"addresses":[{"purpose":"LOCATION","street_1":"10050 AUBURN PARK DR","city":"FORT WAYNE","state":"IN","postal_code":"468252389","country_code":"US","phone":"2604326459","fax":"2602405284"},{"purpose":"MAILING","street_1":"10050 AUBURN PARK DR","city":"FORT WAYNE","state":"IN","postal_code":"468252389","country_code":"US","phone":"2604326459","fax":"2602405284"}],"license":{"state":"IN","number":"02008137A"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250716000345","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"IN","pac_id":"5698154813"}]},"enumeration_date":"2022-03-28","last_updated":"2025-06-26","_meta":{"source":"NPPES","snapshot_date":"2025-06-26","doc_url":"https://findmynpi.com/api"}}