{"npi":"1912394396","type":"NPI-2","status":"active","name":{"display":"Envision Creative Support For People With Developmental Disabilities","other":[],"organization_name":"ENVISION CREATIVE SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES","authorised_official":"Mary Lu Walton"},"specialty":{"primary_taxonomy":"252Y00000X","primary_taxonomy_description":"Early Intervention Provider Agency","slug":"early-intervention-provider-agency","schema_org_specialty":null,"all":[{"code":"252Y00000X","description":"Early Intervention Provider Agency","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1050 37TH ST","city":"EVANS","state":"CO","postal_code":"806202115","country_code":"US","phone":"9703395360","fax":"9703302261"},{"purpose":"MAILING","street_1":"PO BOX 200069","city":"EVANS","state":"CO","postal_code":"806200069","country_code":"US","phone":"9703395360","fax":"9703302261"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"09139676","state":"CO","issuer":null},{"type_code":"05","label":"Medicaid","value":"50057367","state":"CO","issuer":null},{"type_code":"05","label":"Medicaid","value":"09145764","state":"CO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2015-04-23","last_updated":"2015-04-23","_meta":{"source":"NPPES","snapshot_date":"2015-04-23","doc_url":"https://findmynpi.com/api"}}