{"npi":"1801881065","type":"NPI-1","status":"active","name":{"display":"Jacquelyn Watson MD","other":[{"code":"1","type":"Formerly known as","value":"CLARK, JACQUELYN RUTH"}],"first":"JACQUELYN","last":"WATSON","middle":"R","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0001X","primary_taxonomy_description":"Radiation Oncology Physician","slug":"radiation-oncology-physician","schema_org_specialty":null,"all":[{"code":"2085R0001X","description":"Radiation Oncology Physician","primary":true,"state":"MI","license":"404424"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 N PARK ST","city":"KALAMAZOO","state":"MI","postal_code":"490073731","country_code":"US","street_2":"WEST MICHIGAN CANCER CENTER","phone":"2693737474"},{"purpose":"MAILING","street_1":"601 JOHN ST","city":"KALAMAZOO","state":"MI","postal_code":"490075341","country_code":"US","street_2":"BOX 42","phone":"2693417806","fax":"2693418743"}],"license":{"state":"MI","number":"404424"},"identifiers":[{"type_code":"01","label":"Other","value":"0C96059","state":"MI","issuer":"BCBSM"},{"type_code":"05","label":"Medicaid","value":"292222010","state":"MI","issuer":null},{"type_code":"05","label":"Medicaid","value":"1801881065","state":"MI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-09-14","last_updated":"2009-09-21","_meta":{"source":"NPPES","snapshot_date":"2009-09-21","doc_url":"https://findmynpi.com/api"}}