{"npi":"1780078253","type":"NPI-1","status":"active","name":{"display":"Edward Landry","other":[],"first":"EDWARD","last":"LANDRY","middle":"PAUL"},"specialty":{"primary_taxonomy":"2080P0204X","primary_taxonomy_description":"Pediatric Emergency Medicine","slug":"pediatric-emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"2080P0204X","description":"Pediatric Emergency Medicine","primary":true,"state":"MS","license":"25979"}]},"addresses":[{"purpose":"LOCATION","street_1":"2500 N STATE ST","city":"JACKSON","state":"MS","postal_code":"392164500","country_code":"US","phone":"6019845200"},{"purpose":"MAILING","street_1":"504 CLINTON CENTER DRIVE","city":"CLINTON","state":"MS","postal_code":"390565610","country_code":"US","street_2":"CBO - SUITE 4300"}],"license":{"state":"MS","number":"25979"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02078311","state":"MS","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190709000749","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"MS","pac_id":"5890001127"},{"enrlmt_id":"I20230801001405","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"FL","pac_id":"5890001127"}]},"enumeration_date":"2015-03-23","last_updated":"2022-06-01","_meta":{"source":"NPPES","snapshot_date":"2022-06-01","doc_url":"https://findmynpi.com/api"}}