{"npi":"1902732043","type":"NPI-1","status":"active","name":{"display":"Silvia Elvir Sierra","other":[],"first":"SILVIA","last":"ELVIR SIERRA"},"specialty":{"primary_taxonomy":"374U00000X","primary_taxonomy_description":"Home Health Aide","slug":"home-health-aide","schema_org_specialty":null,"all":[{"code":"374U00000X","description":"Home Health Aide","primary":true,"state":"DC","license":"HHA2000003736"}]},"addresses":[{"purpose":"LOCATION","street_1":"1445 PARK RD NW APT 508","city":"WASHINGTON","state":"DC","postal_code":"200102834","country_code":"US","phone":"2024894084"},{"purpose":"MAILING","street_1":"1445 PARK RD NW APT 508","city":"WASHINGTON","state":"DC","postal_code":"200102834","country_code":"US","phone":"2024894084"}],"license":{"state":"DC","number":"HHA2000003736"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2026-06-18","last_updated":"2026-06-19","_meta":{"source":"NPPES","snapshot_date":"2026-06-19","doc_url":"https://findmynpi.com/api"}}