{"npi":"1801824875","type":"NPI-1","status":"active","name":{"display":"Mr. Mark Poulin NP","other":[],"first":"MARK","last":"POULIN","middle":"J","credential":"NP"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"AZ","license":"RN108520"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"AZ","license":"AP1737"}]},"addresses":[{"purpose":"LOCATION","street_1":"4909 E MCDOWELL RD","city":"PHOENIX","state":"AZ","postal_code":"850087735","country_code":"US","phone":"6026856000","fax":"6022751355"},{"purpose":"MAILING","street_1":"3003 N CENTRAL AVE","city":"PHOENIX","state":"AZ","postal_code":"850122902","country_code":"US","street_2":"SUITE 200","phone":"6026856000","fax":"6023027925"}],"license":{"state":"AZ","number":"AP1737"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"816233","state":"AZ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-29","last_updated":"2016-12-06","_meta":{"source":"NPPES","snapshot_date":"2016-12-06","doc_url":"https://findmynpi.com/api"}}