{"npi":"1619053436","type":"NPI-1","status":"active","name":{"display":"Samuel Warren MD","other":[],"first":"SAMUEL","last":"WARREN","middle":"KENDALL","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"WA","license":"MD00041388"}]},"addresses":[{"purpose":"LOCATION","street_1":"613 19TH AVE E STE 201","city":"SEATTLE","state":"WA","postal_code":"981124000","country_code":"US","phone":"2067313000"},{"purpose":"MAILING","street_1":"613 19TH AVE E STE 201","city":"SEATTLE","state":"WA","postal_code":"981124000","country_code":"US","phone":"2064665937","fax":"2065358844"}],"license":{"state":"WA","number":"MD00041388"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8320772","state":"WA","issuer":null},{"type_code":"01","label":"Other","value":"247840","state":null,"issuer":"INTERNAL ID-MOTOR VEHICLE ID"},{"type_code":"01","label":"Other","value":"110240268","state":"WA","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-10-27","last_updated":"2023-06-29","_meta":{"source":"NPPES","snapshot_date":"2023-06-29","doc_url":"https://findmynpi.com/api"}}