{"npi":"1245934678","type":"NPI-1","status":"active","name":{"display":"Justin Jickess","other":[],"first":"JUSTIN","last":"JICKESS"},"specialty":{"primary_taxonomy":"390200000X","primary_taxonomy_description":"Student in an Organized Health Care Education/Training Program","slug":"student-in-an-organized-health-care-education-training-program","schema_org_specialty":null,"all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"5333 MCAULEY DRIVE","city":"YPSILANTI","state":"MI","postal_code":"481978633","country_code":"US","street_2":"SUITE 2115","phone":"7347123971"},{"purpose":"MAILING","street_1":"500 E REGENCY CIR","city":"CANFIELD","state":"OH","postal_code":"444069643","country_code":"US","phone":"3305025005"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230809000708","type_code":"33-02","type_desc":"ORDER AND REFERRING ONLY - GENERAL SURGERY","state":"MI","pac_id":"0446612329"}]},"enumeration_date":"2023-03-29","last_updated":"2023-03-29","_meta":{"source":"NPPES","snapshot_date":"2023-03-29","doc_url":"https://findmynpi.com/api"}}