{"npi":"1265588271","type":"NPI-1","status":"active","name":{"display":"Ann Nicely Physician Assistant","other":[{"code":"2","type":"Professional name","value":"NICELY, ANN L"}],"first":"ANN","last":"NICELY","middle":"LOUISE","credential":"PHYSICIAN ASSISTANT"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"WV","license":"00375"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"WV","license":"464"}]},"addresses":[{"purpose":"LOCATION","street_1":"60 ROXBURY RD","city":"FAIRMONT","state":"WV","postal_code":"265548223","country_code":"US","street_2":"WHITEHALL MEDICAL, PLLC","phone":"3043636600","fax":"3043637700"},{"purpose":"MAILING","street_1":"60 ROXBURY RD","city":"FAIRMONT","state":"WV","postal_code":"265548223","country_code":"US","street_2":"WHITEHALL MEDICAL, PLLC","phone":"3043636600","fax":"3043637700"}],"license":{"state":"WV","number":"464"},"identifiers":[{"type_code":"01","label":"Other","value":"S99643","state":"WV","issuer":"WV WORKER'S COMP"},{"type_code":"01","label":"Other","value":"P00455326","state":"WV","issuer":"RR MEDICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-01-25","last_updated":"2009-05-06","_meta":{"source":"NPPES","snapshot_date":"2009-05-06","doc_url":"https://findmynpi.com/api"}}