{"npi":"1487948816","type":"NPI-2","status":"active","name":{"display":"Connie S Carunchia Professional Corporation","other":[],"organization_name":"CONNIE S CARUNCHIA PROFESSIONAL CORPORATION","authorised_official":"Connie Cole"},"specialty":{"primary_taxonomy":"363LG0600X","primary_taxonomy_description":"Gerontology Nurse Practitioner","slug":"gerontology-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LG0600X","description":"Gerontology Nurse Practitioner","primary":true,"state":"IN","license":"55000068A"}]},"addresses":[{"purpose":"LOCATION","street_1":"5900 E 500 N","city":"KENDALLVILLE","state":"IN","postal_code":"467559349","country_code":"US","phone":"2603498185","fax":"8883470088"},{"purpose":"MAILING","street_1":"5900 E 500 N","city":"KENDALLVILLE","state":"IN","postal_code":"467559349","country_code":"US","phone":"2603498185","fax":"8883470088"}],"license":{"state":"IN","number":"55000068A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"201023750A","state":"IN","issuer":null},{"type_code":"01","label":"Other","value":"DS6979","state":null,"issuer":"RR MEDICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2011-06-02","last_updated":"2014-08-04","_meta":{"source":"NPPES","snapshot_date":"2014-08-04","doc_url":"https://findmynpi.com/api"}}