{"npi":"1629067426","type":"NPI-1","status":"active","name":{"display":"Brenda Ryan Speech Language Path","other":[],"first":"BRENDA","last":"RYAN","credential":"SPEECH LANGUAGE PATH"},"specialty":{"primary_taxonomy":"235Z00000X","primary_taxonomy_description":"Speech-Language Pathology","slug":"speech-language-pathology","schema_org_specialty":"Speech","all":[{"code":"235Z00000X","description":"Speech-Language Pathology","primary":true,"state":"VA","license":"2202002211"}]},"addresses":[{"purpose":"LOCATION","street_1":"195 KANE ST","city":"GATE CITY","state":"VA","postal_code":"242513408","country_code":"US","phone":"2763862454","fax":"2763861446"},{"purpose":"MAILING","street_1":"PO BOX 1807","city":"GATE CITY","state":"VA","postal_code":"242514807","country_code":"US","phone":"2763862454","fax":"2763861446"}],"license":{"state":"VA","number":"2202002211"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"4979681","state":"VA","issuer":null},{"type_code":"01","label":"Other","value":"283587","state":"VA","issuer":"BCBS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-10-14","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}