{"npi":"1710111331","type":"NPI-1","status":"active","name":{"display":"Dr. Tracy Ivy MD","other":[],"first":"TRACY","last":"IVY","middle":"LYNN","credential":"MD"},"specialty":{"primary_taxonomy":"2080P0214X","primary_taxonomy_description":"Pediatric Pulmonology Physician","slug":"pediatric-pulmonology-physician","schema_org_specialty":null,"all":[{"code":"208000000X","description":"Pediatrics","primary":false,"state":"MO","license":"2015008494"},{"code":"2080S0012X","description":"Pediatric Sleep Medicine Physician","primary":false,"state":"MO","license":"2015008494"},{"code":"2080P0214X","description":"Pediatric Pulmonology Physician","primary":true,"state":"MO","license":"2015008494"}]},"addresses":[{"purpose":"LOCATION","street_1":"1 CHILDRENS PL","city":"SAINT LOUIS","state":"MO","postal_code":"631101002","country_code":"US","street_2":"DIV PED ALLERGY/IMMUNO/PULMO","phone":"3144542694","fax":"3144542515"},{"purpose":"MAILING","street_1":"PO BOX 7412011","city":"CHICAGO","state":"IL","postal_code":"606742011","country_code":"US","phone":"3144542694","fax":"3144542515"}],"license":{"state":"MO","number":"2015008494"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200031877","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170203001463","type_code":"14-29","type_desc":"PRACTITIONER - PULMONARY DISEASE","state":"MO","pac_id":"6406157064"}]},"enumeration_date":"2009-05-11","last_updated":"2025-04-17","_meta":{"source":"NPPES","snapshot_date":"2025-04-17","doc_url":"https://findmynpi.com/api"}}