{"npi":"1447975347","type":"NPI-1","status":"active","name":{"display":"Laconia Bouldin","other":[],"first":"LACONIA","last":"BOULDIN","middle":"VENAYE"},"specialty":{"primary_taxonomy":"372500000X","primary_taxonomy_description":"Chore Provider","slug":"chore-provider","schema_org_specialty":null,"all":[{"code":"372500000X","description":"Chore Provider","primary":true,"state":"OH","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2760 RIVERSIDE DR","city":"CINCINNATI","state":"OH","postal_code":"452021820","country_code":"US","phone":"5138373575"},{"purpose":"MAILING","street_1":"2760 RIVERSIDE DR","city":"CINCINNATI","state":"OH","postal_code":"452021820","country_code":"US","phone":"5138373575"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"563","state":"OH","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-10-04","last_updated":"2022-10-04","_meta":{"source":"NPPES","snapshot_date":"2022-10-04","doc_url":"https://findmynpi.com/api"}}