{"npi":"1659908622","type":"NPI-1","status":"active","name":{"display":"Dominic Nicacio","other":[],"first":"DOMINIC","last":"NICACIO"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"WA","license":"MD61405669"}]},"addresses":[{"purpose":"LOCATION","street_1":"1000 BLYTHE BLVD","city":"CHARLOTTE","state":"NC","postal_code":"282035812","country_code":"US","phone":"7043553181","fax":"7043557047"},{"purpose":"MAILING","street_1":"932 NE 147TH ST","city":"SHORELINE","state":"WA","postal_code":"981557050","country_code":"US","phone":"2066123320"}],"license":{"state":"WA","number":"MD61405669"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230824002540","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"WA","pac_id":"0547684953"},{"enrlmt_id":"I20240703001773","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"NC","pac_id":"0547684953"}]},"enumeration_date":"2020-03-26","last_updated":"2024-01-16","_meta":{"source":"NPPES","snapshot_date":"2024-01-16","doc_url":"https://findmynpi.com/api"}}