{"npi":"1649271933","type":"NPI-1","status":"active","name":{"display":"Dr. Kim Grum Lsudc, Caadc, Crs","other":[{"code":"1","type":"Formerly known as","value":"ABDALLA-DIGIACOMO, KIM MARIE"}],"first":"KIM","last":"GRUM","middle":"MARIE","credential":"LSUDC, CAADC, CRS"},"specialty":{"primary_taxonomy":"101YA0400X","primary_taxonomy_description":"Addiction Counselor","slug":"addiction-counselor","schema_org_specialty":"Psychiatric","all":[{"code":"101YA0400X","description":"Addiction Counselor","primary":true,"state":"UT","license":"13939693"}]},"addresses":[{"purpose":"LOCATION","street_1":"2512 GOLDEN SANDS DR","city":"LAS VEGAS","state":"NV","postal_code":"891286801","country_code":"US","phone":"2159191558","fax":"2154911750"},{"purpose":"MAILING","street_1":"2512 GOLDEN SANDS DR","city":"LAS VEGAS","state":"NV","postal_code":"891286801","country_code":"US","phone":"2159191558","fax":"2154911750"}],"license":{"state":"UT","number":"13939693"},"identifiers":[{"type_code":"01","label":"Other","value":"0284366000","state":"PA","issuer":"INDEPENDENCE  BLUE CROSS"},{"type_code":"05","label":"Medicaid","value":"07802520","state":"PA","issuer":null},{"type_code":"05","label":"Medicaid","value":"1649271933","state":"UT","issuer":null},{"type_code":"01","label":"Other","value":"447982","state":"PA","issuer":"HIGHMARK BLUE SHIELD"},{"type_code":"01","label":"Other","value":"1015164","state":"PA","issuer":"KEYSTONE MERCY"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-08-09","last_updated":"2025-01-24","_meta":{"source":"NPPES","snapshot_date":"2025-01-24","doc_url":"https://findmynpi.com/api"}}