{"npi":"1215054507","type":"NPI-1","status":"active","name":{"display":"Ms. Brenda Wilson Ccc","other":[],"first":"BRENDA","last":"WILSON","middle":"M","credential":"CCC"},"specialty":{"primary_taxonomy":"235Z00000X","primary_taxonomy_description":"Speech-Language Pathology","slug":"speech-language-pathology","schema_org_specialty":"Speech","all":[{"code":"235Z00000X","description":"Speech-Language Pathology","primary":true,"state":"IL","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"200 LERNA RD S","city":"MATTOON","state":"IL","postal_code":"619389388","country_code":"US","phone":"2172583640","fax":"2172583460"},{"purpose":"MAILING","street_1":"611 W PARK ST","city":"URBANA","state":"IL","postal_code":"618012500","country_code":"US","phone":"2173262911","fax":"2173448047"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"7216","state":null,"issuer":"PERSONALCARE PROV ID"},{"type_code":"01","label":"Other","value":"203","state":"IL","issuer":"BLUE CROSS PROV ID"},{"type_code":"01","label":"Other","value":"4117","state":"IL","issuer":"HAMP PROV ID"},{"type_code":"01","label":"Other","value":"113326","state":null,"issuer":"HEALTHLINK PROV ID"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-23","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}