{"npi":"1295246932","type":"NPI-2","status":"active","name":{"display":"Trinity Health & Wellness Family Practice PLLC","other":[],"organization_name":"TRINITY HEALTH & WELLNESS FAMILY PRACTICE PLLC","authorised_official":"Chris Dipaola"},"specialty":{"primary_taxonomy":"261QH0100X","primary_taxonomy_description":"Health Service Clinic/Center","slug":"health-service-clinic-center","schema_org_specialty":null,"all":[{"code":"261QP2300X","description":"Primary Care Clinic","primary":false,"state":"AZ","license":"AP9834"},{"code":"261QH0100X","description":"Health Service Clinic/Center","primary":true,"state":"AZ","license":"AP9834"}]},"addresses":[{"purpose":"LOCATION","street_1":"45 CAPRI BLVD STE F","city":"LAKE HAVASU CITY","state":"AZ","postal_code":"864035657","country_code":"US","phone":"9282341177","fax":"9287336259"},{"purpose":"MAILING","street_1":"3869 CHESAPEAKE PL","city":"LAKE HAVASU CITY","state":"AZ","postal_code":"864064343","country_code":"US","phone":"6037315907"}],"license":{"state":"AZ","number":"AP9834"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1669836748","state":"CA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-10-21","last_updated":"2018-06-16","_meta":{"source":"NPPES","snapshot_date":"2018-06-16","doc_url":"https://findmynpi.com/api"}}