{"npi":"1275181554","type":"NPI-1","status":"active","name":{"display":"Tavonna Kako MD","other":[{"code":"1","type":"Formerly known as","value":"JOHNSON, TAVONNA D"}],"first":"TAVONNA","last":"KAKO","middle":"DENISE","credential":"MD"},"specialty":{"primary_taxonomy":"207VX0000X","primary_taxonomy_description":"Obstetrics Physician","slug":"obstetrics-physician","schema_org_specialty":null,"all":[{"code":"207V00000X","description":"Obstetrics & Gynecology","primary":false,"state":"IN","license":"01093997A"},{"code":"207VX0000X","description":"Obstetrics Physician","primary":true,"state":"IN","license":"01093997A"},{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"6002 E 38TH ST","city":"INDIANAPOLIS","state":"IN","postal_code":"462265614","country_code":"US","phone":"3178806002","fax":"3178800417"},{"purpose":"MAILING","street_1":"701 S GREENLEAF CT","city":"BLOOMINGTON","state":"IN","postal_code":"474035858","country_code":"US"}],"license":{"state":"IN","number":"01093997A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"300093177","state":"IN","issuer":null},{"type_code":"01","label":"Other","value":"1104256339","state":"IN","issuer":"ANTHEM PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240717000182","type_code":"14-16","type_desc":"PRACTITIONER - OBSTETRICS/GYNECOLOGY","state":"IN","pac_id":"3971925413"}]},"enumeration_date":"2019-08-29","last_updated":"2025-11-06","_meta":{"source":"NPPES","snapshot_date":"2025-11-06","doc_url":"https://findmynpi.com/api"}}