{"npi":"1902963929","type":"NPI-1","status":"active","name":{"display":"Dr. Shannon Peck PHD","other":[],"first":"SHANNON","last":"PECK","middle":"BURTON","credential":"PHD"},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":"TX","license":"32882"}]},"addresses":[{"purpose":"LOCATION","street_1":"510 E STONER AVE","city":"SHREVEPORT","state":"LA","postal_code":"711014243","country_code":"US","phone":"3189904957"},{"purpose":"MAILING","street_1":"510 E STONER AVE","city":"SHREVEPORT","state":"LA","postal_code":"711014243","country_code":"US","phone":"3189904957"}],"license":{"state":"TX","number":"32882"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"177186701","state":"TX","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-01-02","last_updated":"2013-08-02","_meta":{"source":"NPPES","snapshot_date":"2013-08-02","doc_url":"https://findmynpi.com/api"}}