{"npi":"1730314337","type":"NPI-1","status":"active","name":{"display":"Laura Ankrom M.D.","other":[{"code":"1","type":"Formerly known as","value":"WATERS, LAURA ELIZABETH"}],"first":"LAURA","last":"ANKROM","middle":"ELIZABETH","credential":"M.D."},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":true,"state":"MO","license":"2012008184"}]},"addresses":[{"purpose":"LOCATION","street_1":"4331 S FREMONT AVE","city":"SPRINGFIELD","state":"MO","postal_code":"658047328","country_code":"US","phone":"4178205000","fax":"4178205025"},{"purpose":"MAILING","street_1":"PO BOX 2580","city":"SPRINGFIELD","state":"MO","postal_code":"658012580","country_code":"US","phone":"4178294620","fax":"4178294316"}],"license":{"state":"MO","number":"2012008184"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1730314337","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120921000242","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"MO","pac_id":"2769630417"}]},"enumeration_date":"2009-05-27","last_updated":"2025-03-13","_meta":{"source":"NPPES","snapshot_date":"2025-03-13","doc_url":"https://findmynpi.com/api"}}