{"npi":"1962273854","type":"NPI-1","status":"active","name":{"display":"Shastidy Lopez Ccss","other":[{"code":"1","type":"Formerly known as","value":"MADRID, SHASTIDY PAULINE"}],"first":"SHASTIDY","last":"LOPEZ","middle":"PAULINE","credential":"CCSS"},"specialty":{"primary_taxonomy":"171000000X","primary_taxonomy_description":"Military Health Care Provider","slug":"military-health-care-provider","schema_org_specialty":null,"all":[{"code":"171000000X","description":"Military Health Care Provider","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1 CAMINO ORO CT","city":"TIJERAS","state":"NM","postal_code":"870597924","country_code":"US","phone":"7065938731","fax":"7065938732"},{"purpose":"MAILING","street_1":"PO BOX 45681","city":"RIO RANCHO","state":"NM","postal_code":"871745681","country_code":"US","phone":"5052261960","fax":"5056727769"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-01-10","last_updated":"2024-09-26","_meta":{"source":"NPPES","snapshot_date":"2024-09-26","doc_url":"https://findmynpi.com/api"}}