{"npi":"1366477960","type":"NPI-1","status":"active","name":{"display":"Dr. Brenda Waters M.D., B.S.","other":[],"first":"BRENDA","last":"WATERS","middle":"LORRAINE","credential":"M.D., B.S."},"specialty":{"primary_taxonomy":"207ZP0213X","primary_taxonomy_description":"Pediatric Pathology Physician","slug":"pediatric-pathology-physician","schema_org_specialty":null,"all":[{"code":"207ZP0101X","description":"Anatomic Pathology Physician","primary":false,"state":"VT","license":"042-0006733"},{"code":"207ZP0213X","description":"Pediatric Pathology Physician","primary":true,"state":"VT","license":"042-0006733"}]},"addresses":[{"purpose":"LOCATION","street_1":"111 COLCHESTER AVE","city":"BURLINGTON","state":"VT","postal_code":"054011473","country_code":"US","phone":"8028472797","fax":"8028479644"},{"purpose":"MAILING","street_1":"300 BLACKBERRY DR","city":"HUNTINGTON","state":"VT","postal_code":"054629640","country_code":"US"}],"license":{"state":"VT","number":"042-0006733"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"01166976","state":"NY","issuer":null},{"type_code":"05","label":"Medicaid","value":"0009551","state":"VT","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-11","last_updated":"2025-09-11","_meta":{"source":"NPPES","snapshot_date":"2025-09-11","doc_url":"https://findmynpi.com/api"}}