{"npi":"1750182168","type":"NPI-2","status":"active","name":{"display":"Ethereal Medspa LLC","other":[],"organization_name":"ETHEREAL MEDSPA LLC","authorised_official":"Isabel Gomez Hernandez"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"13011 SW 132ND ST STE B","city":"MIAMI","state":"FL","postal_code":"331867197","country_code":"US","phone":"7868041241"},{"purpose":"MAILING","street_1":"16894 SW 143RD PL","city":"MIAMI","state":"FL","postal_code":"331772755","country_code":"US","phone":"7868041241"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2025-03-21","last_updated":"2025-03-21","_meta":{"source":"NPPES","snapshot_date":"2025-03-21","doc_url":"https://findmynpi.com/api"}}