{"npi":"1386965028","type":"NPI-1","status":"active","name":{"display":"Lisa Vercollone M.D.","other":[{"code":"1","type":"Formerly known as","value":"ESPIRITU, LISA"}],"first":"LISA","last":"VERCOLLONE","middle":"WESTCOTT","credential":"M.D."},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"WA","license":"MD60347934"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"MA","license":"269351"}]},"addresses":[{"purpose":"LOCATION","street_1":"1153 CENTRE ST","city":"BOSTON","state":"MA","postal_code":"021303446","country_code":"US","phone":"6179837000"},{"purpose":"MAILING","street_1":"75 FRANCIS ST","city":"BOSTON","state":"MA","postal_code":"021156110","country_code":"US"}],"license":{"state":"MA","number":"269351"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1386965028","state":"WA","issuer":null},{"type_code":"01","label":"Other","value":"314292","state":"WA","issuer":"LNI"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20161222000422","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"MA","pac_id":"2062651367"}]},"enumeration_date":"2010-06-17","last_updated":"2017-12-05","_meta":{"source":"NPPES","snapshot_date":"2017-12-05","doc_url":"https://findmynpi.com/api"}}