{"npi":"1497059638","type":"NPI-2","status":"active","name":{"display":"Jiivana Integrative Health PLLC","other":[],"organization_name":"JIIVANA INTEGRATIVE HEALTH PLLC","authorised_official":"Laura Marx"},"specialty":{"primary_taxonomy":"261QP2300X","primary_taxonomy_description":"Primary Care Clinic","slug":"primary-care-clinic","schema_org_specialty":"PrimaryCare","all":[{"code":"261QP2300X","description":"Primary Care Clinic","primary":true,"state":"MT","license":"APN22313"}]},"addresses":[{"purpose":"LOCATION","street_1":"825 W. KENT ST.","city":"MISSOULA","state":"MT","postal_code":"598016619","country_code":"US","phone":"4065463043"},{"purpose":"MAILING","street_1":"825 W. KENT ST.","city":"MISSOULA","state":"MT","postal_code":"598016619","country_code":"US","phone":"4065463043"}],"license":{"state":"MT","number":"APN22313"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110221000829","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MT","pac_id":"9537340708"}]},"enumeration_date":"2011-01-03","last_updated":"2011-01-03","_meta":{"source":"NPPES","snapshot_date":"2011-01-03","doc_url":"https://findmynpi.com/api"}}