{"npi":"1427430644","type":"NPI-1","status":"active","name":{"display":"Dr. Nathaniel Phelps D.O.","other":[],"first":"NATHANIEL","last":"PHELPS","middle":"COLE","credential":"D.O."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"KY","license":"04139"},{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"KY","license":"R3589"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"KY","license":"04139"}]},"addresses":[{"purpose":"LOCATION","street_1":"1305 N ELM ST","city":"HENDERSON","state":"KY","postal_code":"424202783","country_code":"US","phone":"2708277700"},{"purpose":"MAILING","street_1":"1305 N ELM ST","city":"HENDERSON","state":"KY","postal_code":"424202783","country_code":"US","phone":"2708277700"}],"license":{"state":"KY","number":"04139"},"identifiers":[{"type_code":"01","label":"Other","value":"K188540","state":"KY","issuer":"MEDICARE"},{"type_code":"05","label":"Medicaid","value":"7100383980","state":"KY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20151005001012","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"KY","pac_id":"4688982044"}]},"enumeration_date":"2015-06-24","last_updated":"2021-01-22","_meta":{"source":"NPPES","snapshot_date":"2021-01-22","doc_url":"https://findmynpi.com/api"}}