{"npi":"1962525402","type":"NPI-2","status":"active","name":{"display":"Rockcastle Ventures Inc. D.B.A. Callie Shaffer, M.D.","other":[],"organization_name":"ROCKCASTLE VENTURES INC. D.B.A. CALLIE SHAFFER, M.D.","authorised_official":"Brandy Bullock"},"specialty":{"primary_taxonomy":"2080A0000X","primary_taxonomy_description":"Adolescent Medicine","slug":"adolescent-medicine","schema_org_specialty":"Pediatric","all":[{"code":"2080A0000X","description":"Adolescent Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"140 NEWCOMB AVE","city":"MOUNT VERNON","state":"KY","postal_code":"404562728","country_code":"US","phone":"6062564148"},{"purpose":"MAILING","street_1":"PO BOX 1525","city":"MOUNT VERNON","state":"KY","postal_code":"404561525","country_code":"US","phone":"6062564148"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"65942690","state":"KY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-04-09","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}