{"npi":"1154921906","type":"NPI-2","status":"active","name":{"display":"Pikes Peak Nephrology Associates PC","other":[],"organization_name":"PIKES PEAK NEPHROLOGY ASSOCIATES PC","authorised_official":"Jeanine Pittman"},"specialty":{"primary_taxonomy":"207RN0300X","primary_taxonomy_description":"Nephrology Physician","slug":"nephrology-physician","schema_org_specialty":null,"all":[{"code":"207RN0300X","description":"Nephrology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1400 E BOULDER ST","city":"COLORADO SPRINGS","state":"CO","postal_code":"809095533","country_code":"US","phone":"7193655000"},{"purpose":"MAILING","street_1":"1914 LELARAY ST","city":"COLORADO SPRINGS","state":"CO","postal_code":"809092800","country_code":"US","phone":"7196327641","fax":"7196322925"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"04850046","state":"CO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2020-10-30","last_updated":"2020-10-30","_meta":{"source":"NPPES","snapshot_date":"2020-10-30","doc_url":"https://findmynpi.com/api"}}