{"npi":"1568762011","type":"NPI-1","status":"active","name":{"display":"Loretta Sandoval RN, Cnm","other":[{"code":"1","type":"Formerly known as","value":"GOREVIN, LORETTA"}],"first":"LORETTA","last":"SANDOVAL","credential":"RN, CNM"},"specialty":{"primary_taxonomy":"363LX0001X","primary_taxonomy_description":"Nurse Practitioner, OB/GYN","slug":"nurse-practitioner-ob-gyn","schema_org_specialty":"Obstetric","all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"OR","license":"201042847RN"},{"code":"363LX0001X","description":"Nurse Practitioner, OB/GYN","primary":true,"state":"OR","license":"201250116NP"}]},"addresses":[{"purpose":"LOCATION","street_1":"1910 E BARNETT RD STE 102","city":"MEDFORD","state":"OR","postal_code":"975048672","country_code":"US","phone":"5415004747","fax":"8662676644"},{"purpose":"MAILING","street_1":"3617 S PACIFIC HWY","city":"MEDFORD","state":"OR","postal_code":"975018957","country_code":"US","phone":"5415356239","fax":"5415121026"}],"license":{"state":"OR","number":"201250116NP"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130102000237","type_code":"14-42","type_desc":"PRACTITIONER - CERTIFIED NURSE MIDWIFE (CNM)","state":"OR","pac_id":"6901059872"}]},"enumeration_date":"2010-11-01","last_updated":"2025-02-20","_meta":{"source":"NPPES","snapshot_date":"2025-02-20","doc_url":"https://findmynpi.com/api"}}