{"npi":"1336115997","type":"NPI-2","status":"active","name":{"display":"Ccp Primary Care Center","other":[],"organization_name":"CCP PRIMARY CARE CENTER","authorised_official":"Grover Phipps"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"208VP0000X","description":"Pain Medicine Physician","primary":false,"state":"LA","license":"022833"},{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"LA","license":"AP04512"}]},"addresses":[{"purpose":"LOCATION","street_1":"1101 ERASTE LANDRY RD","city":"LAFAYETTE","state":"LA","postal_code":"705063043","country_code":"US","phone":"3372896690"},{"purpose":"MAILING","street_1":"1101 ERASTE LANDRY RD","city":"LAFAYETTE","state":"LA","postal_code":"705063043","country_code":"US","phone":"3372896690"}],"license":{"state":"LA","number":"AP04512"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"14-47692","state":"LA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-02-24","last_updated":"2025-09-11","_meta":{"source":"NPPES","snapshot_date":"2025-09-11","doc_url":"https://findmynpi.com/api"}}