{"npi":"1912936279","type":"NPI-1","status":"active","name":{"display":"Alysia Robichau MD","other":[{"code":"1","type":"Formerly known as","value":"FURGATCH, ALYSIA NICOLE"}],"first":"ALYSIA","last":"ROBICHAU","middle":"NICOLE","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"TX","license":"M1687"},{"code":"207QS0010X","description":"Sports Medicine (Family Medicine) Physician","primary":false,"state":"TX","license":"M6128"}]},"addresses":[{"purpose":"LOCATION","street_1":"17183 INTERSTATE 45 S","city":"SHENANDOAH","state":"TX","postal_code":"773853312","country_code":"US","street_2":"SUITE 210","phone":"9363218000","fax":"9362710122"},{"purpose":"MAILING","street_1":"17183 INTERSTATE 45 S","city":"SHENANDOAH","state":"TX","postal_code":"773853312","country_code":"US","street_2":"SUITE 210","phone":"9363218000","fax":"9362710122"}],"license":{"state":"TX","number":"M1687"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"184230404","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"P01792351","state":"TX","issuer":"RR MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070302000072","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"TX","pac_id":"3971605379"}]},"enumeration_date":"2006-06-30","last_updated":"2017-05-01","_meta":{"source":"NPPES","snapshot_date":"2017-05-01","doc_url":"https://findmynpi.com/api"}}