{"npi":"1215925672","type":"NPI-1","status":"active","name":{"display":"Dr. Stacy Shackelford M.D.","other":[],"first":"STACY","last":"SHACKELFORD","middle":"ANN","credential":"M.D."},"specialty":{"primary_taxonomy":"2086S0127X","primary_taxonomy_description":"Trauma Surgery Physician","slug":"trauma-surgery-physician","schema_org_specialty":null,"all":[{"code":"208600000X","description":"Surgery","primary":false,"state":"UT","license":"280123-1205"},{"code":"2086S0127X","description":"Trauma Surgery Physician","primary":true,"state":"CO","license":"DR.0068946"}]},"addresses":[{"purpose":"LOCATION","street_1":"4102 PINION DR","city":"USAF ACADEMY","state":"CO","postal_code":"808402502","country_code":"US","phone":"7193335140"},{"purpose":"MAILING","street_1":"4102 PINION DR","city":"USAF ACADEMY","state":"CO","postal_code":"808402502","country_code":"US","phone":"7193335140"}],"license":{"state":"CO","number":"DR.0068946"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"441150100","state":"MD","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220923000010","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"CO","pac_id":"8022281096"}]},"enumeration_date":"2005-10-11","last_updated":"2025-10-13","_meta":{"source":"NPPES","snapshot_date":"2025-10-13","doc_url":"https://findmynpi.com/api"}}