{"npi":"1295952588","type":"NPI-1","status":"active","name":{"display":"Mr. Nicholas Rider D.O.","other":[],"first":"NICHOLAS","last":"RIDER","credential":"D.O."},"specialty":{"primary_taxonomy":"207K00000X","primary_taxonomy_description":"Allergy & Immunology Physician","slug":"allergy-immunology-physician","schema_org_specialty":null,"all":[{"code":"207K00000X","description":"Allergy & Immunology Physician","primary":false,"state":"PA","license":"OS014332"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"VA","license":"0102207181"},{"code":"208000000X","description":"Pediatrics","primary":false,"state":"VA","license":"0102207181"},{"code":"207K00000X","description":"Allergy & Immunology Physician","primary":true,"state":"VA","license":"0102207181"}]},"addresses":[{"purpose":"LOCATION","street_1":"4348 ELECTRIC RD","city":"ROANOKE","state":"VA","postal_code":"240180720","country_code":"US","phone":"5407690950"},{"purpose":"MAILING","street_1":"213 S JEFFERSON ST STE 1006","city":"ROANOKE","state":"VA","postal_code":"240111713","country_code":"US"}],"license":{"state":"VA","number":"0102207181"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20221214003221","type_code":"14-03","type_desc":"PRACTITIONER - ALLERGY/IMMUNOLOGY","state":"VA","pac_id":"0143499962"}]},"enumeration_date":"2007-04-19","last_updated":"2024-02-09","_meta":{"source":"NPPES","snapshot_date":"2024-02-09","doc_url":"https://findmynpi.com/api"}}