{"npi":"1902277445","type":"NPI-2","status":"active","name":{"display":"Artesia Dialysis LLC","other":[],"organization_name":"ARTESIA DIALYSIS LLC","authorised_official":"Samuel Wey"},"specialty":{"primary_taxonomy":"261QE0700X","primary_taxonomy_description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","slug":"end-stage-renal-disease-esrd-treatment-clinic-center","schema_org_specialty":null,"all":[{"code":"261QE0700X","description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2417 MILL CREEK CT","city":"TALLAHASSEE","state":"FL","postal_code":"323084395","country_code":"US","street_2":"STE 3","phone":"8502970435","fax":"8505230715"},{"purpose":"MAILING","street_1":"5200 VIRGINIA WAY","city":"BRENTWOOD","state":"TN","postal_code":"370277569","country_code":"US","street_2":"L&C DEPT"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"018715000","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20151125001125","type_code":"00-03","type_desc":"PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)","state":"FL","pac_id":"3678873569"}]},"enumeration_date":"2015-10-09","last_updated":"2025-10-21","_meta":{"source":"NPPES","snapshot_date":"2025-10-21","doc_url":"https://findmynpi.com/api"}}