{"npi":"1821751702","type":"NPI-2","status":"active","name":{"display":"Domenique Edwards, PLLC","other":[],"organization_name":"DOMENIQUE EDWARDS, PLLC","authorised_official":"Domenique Edwards"},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"5602 CALIFORNIA AVE SW","city":"SEATTLE","state":"WA","postal_code":"981361515","country_code":"US","phone":"2065382255","fax":"2065382266"},{"purpose":"MAILING","street_1":"2611 SW NEVADA ST UNIT B","city":"SEATTLE","state":"WA","postal_code":"981262535","country_code":"US","phone":"2069205949"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"1336675529","state":null,"issuer":"TYPE I NPI"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-10-18","last_updated":"2023-03-22","_meta":{"source":"NPPES","snapshot_date":"2023-03-22","doc_url":"https://findmynpi.com/api"}}