{"npi":"1902123466","type":"NPI-1","status":"active","name":{"display":"Mrs. Desiree Poling Slp","other":[{"code":"1","type":"Formerly known as","value":"PHILLIPS, DESIREE REBECCA"}],"first":"DESIREE","last":"POLING","middle":"REBECCA","credential":"SLP"},"specialty":{"primary_taxonomy":"235Z00000X","primary_taxonomy_description":"Speech-Language Pathology","slug":"speech-language-pathology","schema_org_specialty":"Speech","all":[{"code":"235Z00000X","description":"Speech-Language Pathology","primary":true,"state":"WV","license":"P/SLP-0467"}]},"addresses":[{"purpose":"LOCATION","street_1":"1052 MAPLE DR","city":"MORGANTOWN","state":"WV","postal_code":"265052815","country_code":"US","phone":"3045992600","fax":"3045997800"},{"purpose":"MAILING","street_1":"RR 1 BOX 205A2","city":"LOST CREEK","state":"WV","postal_code":"263859722","country_code":"US","phone":"3043652327","fax":"3045997800"}],"license":{"state":"WV","number":"P/SLP-0467"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"4005078000","state":"WV","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220621002508","type_code":"14-15","type_desc":"PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST","state":"WV","pac_id":"9335528470"}]},"enumeration_date":"2010-04-23","last_updated":"2019-12-18","_meta":{"source":"NPPES","snapshot_date":"2019-12-18","doc_url":"https://findmynpi.com/api"}}