{"npi":"1376526392","type":"NPI-1","status":"active","name":{"display":"Dr. Michelle Puzdrakiewicz M.D.","other":[],"first":"MICHELLE","last":"PUZDRAKIEWICZ","middle":"GRACE","credential":"M.D."},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":true,"state":"LA","license":"308800"},{"code":"208000000X","description":"Pediatrics","primary":false,"state":"TN","license":"42447"}]},"addresses":[{"purpose":"LOCATION","street_1":"1700 WOODLAWN AVE","city":"DYERSBURG","state":"TN","postal_code":"380242028","country_code":"US","phone":"7312874500","fax":"7312874804"},{"purpose":"MAILING","street_1":"1804 HIGHWAY 45 BYP STE 604","city":"JACKSON","state":"TN","postal_code":"383054403","country_code":"US","phone":"7316607971","fax":"7316608739"}],"license":{"state":"LA","number":"308800"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1510509","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180724002568","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"LA","pac_id":"8527159011"}]},"enumeration_date":"2005-11-23","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}