{"npi":"1902044597","type":"NPI-2","status":"active","name":{"display":"Logan Family Practice, LLC","other":[],"organization_name":"LOGAN FAMILY PRACTICE, LLC","authorised_official":"Lajuana Willis"},"specialty":{"primary_taxonomy":"261QP2300X","primary_taxonomy_description":"Primary Care Clinic","slug":"primary-care-clinic","schema_org_specialty":"PrimaryCare","all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"NM","license":"R14626"},{"code":"261QP2300X","description":"Primary Care Clinic","primary":true,"state":"NM","license":"R14626"}]},"addresses":[{"purpose":"LOCATION","street_1":"600 GALLEGOS","city":"LOGAN","state":"NM","postal_code":"884267602","country_code":"US","phone":"5754879000","fax":"5754879002"},{"purpose":"MAILING","street_1":"600 GALLEGOS","city":"LOGAN","state":"NM","postal_code":"884267602","country_code":"US","phone":"5754879000","fax":"5754879002"}],"license":{"state":"NM","number":"R14626"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"28184564","state":"NM","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2009-02-04","last_updated":"2014-02-23","_meta":{"source":"NPPES","snapshot_date":"2014-02-23","doc_url":"https://findmynpi.com/api"}}