{"npi":"1477541654","type":"NPI-1","status":"active","name":{"display":"Dr. Alberta Henderson M.D.","other":[],"first":"ALBERTA","last":"HENDERSON","middle":"LEE","credential":"M.D."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"IN","license":"01043140A"}]},"addresses":[{"purpose":"LOCATION","street_1":"714 N MICHIGAN ST","city":"SOUTH BEND","state":"IN","postal_code":"466011035","country_code":"US","phone":"5742847477"},{"purpose":"MAILING","street_1":"3245 HEALTH DR STE 100","city":"GRANGER","state":"IN","postal_code":"465301380","country_code":"US","phone":"5746471070"}],"license":{"state":"IN","number":"01043140A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200109040","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041022000633","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"IN","pac_id":"0648231621"}]},"enumeration_date":"2005-10-11","last_updated":"2023-05-01","_meta":{"source":"NPPES","snapshot_date":"2023-05-01","doc_url":"https://findmynpi.com/api"}}