{"npi":"1629199765","type":"NPI-1","status":"active","name":{"display":"Tracy Kenline LCSW","other":[{"code":"2","type":"Professional name","value":"KENLINE, TRACY"}],"first":"TRACY","last":"KENLINE","credential":"LCSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":"FL","license":"SW7622"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"CO","license":"1453"}]},"addresses":[{"purpose":"LOCATION","street_1":"740 BURBANK ST","city":"BROOMFIELD","state":"CO","postal_code":"800201658","country_code":"US","phone":"7204957741","fax":"8554584470"},{"purpose":"MAILING","street_1":"740 BURBANK ST","city":"BROOMFIELD","state":"CO","postal_code":"800201658","country_code":"US","phone":"7204957741","fax":"8554584470"}],"license":{"state":"CO","number":"1453"},"identifiers":[{"type_code":"01","label":"Other","value":"12076183","state":"CO","issuer":"CAQH"},{"type_code":"01","label":"Other","value":"45-2792123","state":"CO","issuer":"TAX ID"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-04-03","last_updated":"2011-11-21","_meta":{"source":"NPPES","snapshot_date":"2011-11-21","doc_url":"https://findmynpi.com/api"}}