{"npi":"1265122022","type":"NPI-2","status":"active","name":{"display":"Honor On-Site Clinic","other":[],"organization_name":"HONOR ON-SITE CLINIC","authorised_official":"Jennifer Fick"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"W183S8750 RACINE AVE # 3","city":"MUSKEGO","state":"WI","postal_code":"531508067","country_code":"US","phone":"2629711798","fax":"2626791378"},{"purpose":"MAILING","street_1":"W179S6914 MUSKEGO DR","city":"MUSKEGO","state":"WI","postal_code":"531509631","country_code":"US","phone":"7155583510"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"42946900","state":"WI","issuer":null},{"type_code":"01","label":"Other","value":"1932182177","state":null,"issuer":"BCBS WISCONSIN"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2023-05-15","last_updated":"2023-05-15","_meta":{"source":"NPPES","snapshot_date":"2023-05-15","doc_url":"https://findmynpi.com/api"}}