{"npi":"1972977908","type":"NPI-1","status":"active","name":{"display":"Mrs. Logan Rettew","other":[],"first":"LOGAN","last":"RETTEW","middle":"M"},"specialty":{"primary_taxonomy":"367H00000X","primary_taxonomy_description":"Anesthesiologist Assistant","slug":"anesthesiologist-assistant","schema_org_specialty":null,"all":[{"code":"367H00000X","description":"Anesthesiologist Assistant","primary":true,"state":"FL","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1211 HEIDI LN S","city":"LAKELAND","state":"FL","postal_code":"338132321","country_code":"US","phone":"7272512044"},{"purpose":"MAILING","street_1":"1211 HEIDI LN S","city":"LAKELAND","state":"FL","postal_code":"338132321","country_code":"US","phone":"7272512044"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"AA320","state":"FL","issuer":"LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160321000203","type_code":"14-32","type_desc":"PRACTITIONER - ANESTHESIOLOGY ASSISTANT","state":"FL","pac_id":"2264739150"}]},"enumeration_date":"2015-11-13","last_updated":"2016-02-01","_meta":{"source":"NPPES","snapshot_date":"2016-02-01","doc_url":"https://findmynpi.com/api"}}