{"npi":"1235997602","type":"NPI-2","status":"active","name":{"display":"Innovative Diabetic Center, LLC","other":[],"organization_name":"INNOVATIVE DIABETIC CENTER, LLC","authorised_official":"Amy Hunn"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"133VN1006X","description":"Metabolic Nutrition Registered Dietitian","primary":false,"state":null,"license":null},{"code":"133N00000X","description":"Nutritionist","primary":false,"state":null,"license":null},{"code":"164W00000X","description":"Licensed Practical Nurse","primary":false,"state":null,"license":null},{"code":"261QI0500X","description":"Infusion Therapy Clinic/Center","primary":false,"state":null,"license":null},{"code":"163WI0500X","description":"Infusion Therapy Registered Nurse","primary":false,"state":null,"license":null},{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":false,"state":null,"license":null},{"code":"163WD0400X","description":"Diabetes Educator Registered Nurse","primary":false,"state":null,"license":null},{"code":"208VP0000X","description":"Pain Medicine Physician","primary":false,"state":null,"license":null},{"code":"2081P2900X","description":"Pain Medicine (Physical Medicine & Rehabilitation) Physician","primary":false,"state":null,"license":null},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"207RE0101X","description":"Endocrinology, Diabetes & Metabolism Physician","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"10210 N 92ND ST STE 104","city":"SCOTTSDALE","state":"AZ","postal_code":"852584531","country_code":"US","phone":"4804930900","fax":"8332280846"},{"purpose":"MAILING","street_1":"10210 N 92ND ST STE 104","city":"SCOTTSDALE","state":"AZ","postal_code":"852584531","country_code":"US","phone":"4804930900","fax":"8332280846"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240417002315","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AZ","pac_id":"5496194938"}]},"enumeration_date":"2024-03-11","last_updated":"2025-12-31","_meta":{"source":"NPPES","snapshot_date":"2025-12-31","doc_url":"https://findmynpi.com/api"}}