{"npi":"1679745624","type":"NPI-1","status":"active","name":{"display":"Andrea Street B.S.","other":[{"code":"1","type":"Formerly known as","value":"KAZECK, ANDREA K."}],"first":"ANDREA","last":"STREET","middle":"K.","credential":"B.S."},"specialty":{"primary_taxonomy":"133V00000X","primary_taxonomy_description":"Registered Dietitian","slug":"registered-dietitian","schema_org_specialty":null,"all":[{"code":"133V00000X","description":"Registered Dietitian","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"600 BROADWAY ST","city":"LONGVIEW","state":"WA","postal_code":"986323256","country_code":"US","phone":"3606364943"},{"purpose":"MAILING","street_1":"1230 7TH AVE","city":"LONGVIEW","state":"WA","postal_code":"986323166","country_code":"US","phone":"3606366268","fax":"3605756749"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"8510075","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080521000387","type_code":"14-71","type_desc":"PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL","state":"WA","pac_id":"1355410044"},{"enrlmt_id":"I20200312000520","type_code":"14-71","type_desc":"PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL","state":"OR","pac_id":"1355410044"}]},"enumeration_date":"2008-03-31","last_updated":"2021-12-20","_meta":{"source":"NPPES","snapshot_date":"2021-12-20","doc_url":"https://findmynpi.com/api"}}