{"npi":"1457054926","type":"NPI-1","status":"active","name":{"display":"Rosellen Shahidi MD","other":[{"code":"1","type":"Formerly known as","value":"PROVOST, ROSELLEN GRACE"}],"first":"ROSELLEN","last":"SHAHIDI","middle":"PROVOST","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"ME","license":"MD30125"}]},"addresses":[{"purpose":"LOCATION","street_1":"22 BRAMHALL ST","city":"PORTLAND","state":"ME","postal_code":"041023134","country_code":"US","phone":"2076622911","fax":"2076626006"},{"purpose":"MAILING","street_1":"22 BRAMHALL ST","city":"PORTLAND","state":"ME","postal_code":"041023134","country_code":"US","phone":"2076622911","fax":"2076626006"}],"license":{"state":"ME","number":"MD30125"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230718001603","type_code":"33-11","type_desc":"ORDER AND REFERRING ONLY - INTERNAL MEDICINE","state":"ME","pac_id":"8123488467"}]},"enumeration_date":"2023-03-23","last_updated":"2026-05-04","_meta":{"source":"NPPES","snapshot_date":"2026-05-04","doc_url":"https://findmynpi.com/api"}}