{"npi":"1235703299","type":"NPI-1","status":"active","name":{"display":"Roberta Koeppen MD","other":[],"first":"ROBERTA","last":"KOEPPEN","middle":"LYNN","credential":"MD"},"specialty":{"primary_taxonomy":"208800000X","primary_taxonomy_description":"Urology Physician","slug":"urology-physician","schema_org_specialty":null,"all":[{"code":"208800000X","description":"Urology Physician","primary":true,"state":"IL","license":"125077975"}]},"addresses":[{"purpose":"LOCATION","street_1":"747 N RUTLEDGE ST","city":"SPRINGFIELD","state":"IL","postal_code":"627026700","country_code":"US","phone":"2175453262","fax":"2175457305"},{"purpose":"MAILING","street_1":"PO BOX 19665","city":"SPRINGFIELD","state":"IL","postal_code":"627949665","country_code":"US","phone":"2175453262","fax":"2175457305"}],"license":{"state":"IL","number":"125077975"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210709002844","type_code":"33-34","type_desc":"ORDER AND REFERRING ONLY - UROLOGY","state":"IL","pac_id":"0143622332"}]},"enumeration_date":"2021-05-14","last_updated":"2021-05-14","_meta":{"source":"NPPES","snapshot_date":"2021-05-14","doc_url":"https://findmynpi.com/api"}}