{"npi":"1497754790","type":"NPI-1","status":"active","name":{"display":"Betty Mirro M.D.","other":[{"code":"1","type":"Formerly known as","value":"VAN HOOSER, BETTY J"}],"first":"BETTY","last":"MIRRO","middle":"J","credential":"M.D."},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"TN","license":"17702"}]},"addresses":[{"purpose":"LOCATION","street_1":"3085 FOUNTAINSIDE DR","city":"GERMANTOWN","state":"TN","postal_code":"381387842","country_code":"US","street_2":"SUITE 202","phone":"9017550550","fax":"9017550474"},{"purpose":"MAILING","street_1":"3085 FOUNTAINSIDE DR","city":"GERMANTOWN","state":"TN","postal_code":"381387842","country_code":"US","street_2":"SUITE 202","phone":"9017550550","fax":"9017550474"}],"license":{"state":"TN","number":"17702"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3370933","state":"TN","issuer":null},{"type_code":"01","label":"Other","value":"621756596","state":"TN","issuer":"TAX ID#"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-07-19","last_updated":"2017-03-08","_meta":{"source":"NPPES","snapshot_date":"2017-03-08","doc_url":"https://findmynpi.com/api"}}