{"npi":"1770564825","type":"NPI-1","status":"active","name":{"display":"Devona Anderson MD","other":[],"first":"DEVONA","last":"ANDERSON","middle":"R","credential":"MD"},"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":"IN","license":"01061169A"}]},"addresses":[{"purpose":"LOCATION","street_1":"1542 S DIXON RD STE B","city":"KOKOMO","state":"IN","postal_code":"469027319","country_code":"US","phone":"7654161612","fax":"3137891822"},{"purpose":"MAILING","street_1":"1412 N DELPHOS ST","city":"KOKOMO","state":"IN","postal_code":"469012565","country_code":"US","phone":"7654161612","fax":"3137891822"}],"license":{"state":"IN","number":"01061169A"},"identifiers":[{"type_code":"01","label":"Other","value":"11517013","state":null,"issuer":"CAQH"},{"type_code":"05","label":"Medicaid","value":"200530410","state":"IN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-11-07","last_updated":"2024-12-17","_meta":{"source":"NPPES","snapshot_date":"2024-12-17","doc_url":"https://findmynpi.com/api"}}