{"npi":"1407596828","type":"NPI-1","status":"active","name":{"display":"Madison Harris MD","other":[],"first":"MADISON","last":"HARRIS","credential":"MD"},"specialty":{"primary_taxonomy":"390200000X","primary_taxonomy_description":"Student in an Organized Health Care Education/Training Program","slug":"student-in-an-organized-health-care-education-training-program","schema_org_specialty":null,"all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":true,"state":"IN","license":"11022317A"}]},"addresses":[{"purpose":"LOCATION","street_1":"10122 E 10TH ST STE 100","city":"INDIANAPOLIS","state":"IN","postal_code":"462292697","country_code":"US","phone":"3173555717"},{"purpose":"MAILING","street_1":"6626 E 75TH ST STE 500","city":"INDIANAPOLIS","state":"IN","postal_code":"462502890","country_code":"US","phone":"3176217468"}],"license":{"state":"IN","number":"11022317A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"300063538","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220726002016","type_code":"33-08","type_desc":"ORDER AND REFERRING ONLY - FAMILY PRACTICE","state":"IN","pac_id":"9739561523"}]},"enumeration_date":"2022-04-01","last_updated":"2024-08-09","_meta":{"source":"NPPES","snapshot_date":"2024-08-09","doc_url":"https://findmynpi.com/api"}}