{"npi":"1205660263","type":"NPI-1","status":"active","name":{"display":"Gavin Tanis Ms, Lat, Atc","other":[],"first":"GAVIN","last":"TANIS","middle":"TYLER","credential":"MS, LAT, ATC"},"specialty":{"primary_taxonomy":"2255A2300X","primary_taxonomy_description":"Athletic Trainer","slug":"athletic-trainer","schema_org_specialty":null,"all":[{"code":"2255A2300X","description":"Athletic Trainer","primary":true,"state":"ME","license":"AT970"}]},"addresses":[{"purpose":"LOCATION","street_1":"141 RUSSELL ST","city":"LEWISTON","state":"ME","postal_code":"042406024","country_code":"US","phone":"2077866255"},{"purpose":"MAILING","street_1":"157 CENTRAL AVE","city":"LEWISTON","state":"ME","postal_code":"042405303","country_code":"US","phone":"2078523444"}],"license":{"state":"ME","number":"AT970"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-08-30","last_updated":"2024-08-30","_meta":{"source":"NPPES","snapshot_date":"2024-08-30","doc_url":"https://findmynpi.com/api"}}