{"npi":"1366460347","type":"NPI-1","status":"active","name":{"display":"John Watson MD","other":[],"first":"JOHN","last":"WATSON","middle":"M","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"NV","license":"11947"}]},"addresses":[{"purpose":"LOCATION","street_1":"5575 KIETZKE LN","city":"RENO","state":"NV","postal_code":"895112290","country_code":"US","phone":"7758511505","fax":"7758511583"},{"purpose":"MAILING","street_1":"2345 E PRATER WAY STE 207","city":"SPARKS","state":"NV","postal_code":"894349634","country_code":"US","phone":"7758511505","fax":"7758511583"}],"license":{"state":"NV","number":"11947"},"identifiers":[{"type_code":"01","label":"Other","value":"11614959","state":null,"issuer":"CAQH"},{"type_code":"05","label":"Medicaid","value":"1366460347","state":"NV","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20061117000185","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"NV","pac_id":"6608874144"}]},"enumeration_date":"2006-07-17","last_updated":"2020-10-20","_meta":{"source":"NPPES","snapshot_date":"2020-10-20","doc_url":"https://findmynpi.com/api"}}