{"npi":"1265052849","type":"NPI-1","status":"active","name":{"display":"Meagan Nordstrom MD","other":[{"code":"5","type":"Also known as","value":"MARSHALL, MEAGAN"}],"first":"MEAGAN","last":"NORDSTROM","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"CA","license":"A186735"}]},"addresses":[{"purpose":"LOCATION","street_1":"2170 SOUTH AVE","city":"SOUTH LAKE TAHOE","state":"CA","postal_code":"961507026","country_code":"US","phone":"5305413420"},{"purpose":"MAILING","street_1":"2527 W HARRISON ST APT 3","city":"CHICAGO","state":"IL","postal_code":"606120269","country_code":"US","phone":"5028025573"}],"license":{"state":"CA","number":"A186735"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230830003348","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"CA","pac_id":"8820410137"}]},"enumeration_date":"2020-04-23","last_updated":"2024-04-23","_meta":{"source":"NPPES","snapshot_date":"2024-04-23","doc_url":"https://findmynpi.com/api"}}