{"npi":"1508476615","type":"NPI-1","status":"active","name":{"display":"Adam Waller NP","other":[],"first":"ADAM","last":"WALLER","credential":"NP"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"IL","license":"209021745"}]},"addresses":[{"purpose":"LOCATION","street_1":"502 W SAINT LOUIS ST STE 4","city":"WEST FRANKFORT","state":"IL","postal_code":"628961968","country_code":"US","phone":"6189373400","fax":"6189979324"},{"purpose":"MAILING","street_1":"PO BOX 3988","city":"CARBONDALE","state":"IL","postal_code":"629023988","country_code":"US","phone":"6189373400","fax":"6189979324"}],"license":{"state":"IL","number":"209021745"},"identifiers":[],"pecos":{"enrolled_at":"2026-07-01T15:01:53.235063+00:00","enrollments":[{"enrlmt_id":"I20200914002215","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"IL","pac_id":"9931527512"}]},"enumeration_date":"2020-08-04","last_updated":"2022-05-23","_meta":{"source":"NPPES","snapshot_date":"2022-05-23","doc_url":"https://findmynpi.com/api"}}