{"npi":"1669459533","type":"NPI-1","status":"active","name":{"display":"Scott Fackrell DO","other":[],"first":"SCOTT","last":"FACKRELL","middle":"P","credential":"DO"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"IA","license":"02977"}]},"addresses":[{"purpose":"LOCATION","street_1":"6000 UNIVERSITY AVE","city":"WEST DES MOINES","state":"IA","postal_code":"502668203","country_code":"US","street_2":"SUITE 101","phone":"5152412600","fax":"5152412032"},{"purpose":"MAILING","street_1":"6000 UNIVERSITY AVE","city":"WEST DES MOINES","state":"IA","postal_code":"502668203","country_code":"US","street_2":"SUITE 101","phone":"5152412600","fax":"5152412032"}],"license":{"state":"IA","number":"02977"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0130096","state":"IA","issuer":null},{"type_code":"05","label":"Medicaid","value":"1130096","state":"IA","issuer":null},{"type_code":"05","label":"Medicaid","value":"2130096","state":"IA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050110000584","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"IA","pac_id":"6002864790"}]},"enumeration_date":"2005-12-30","last_updated":"2012-08-30","_meta":{"source":"NPPES","snapshot_date":"2012-08-30","doc_url":"https://findmynpi.com/api"}}