{"result_count":1,"results":[{"addresses":[{"address_1":"3059 VOYAGER DR","address_purpose":"LOCATION","address_type":"DOM","city":"GREEN BAY","country_code":"US","country_name":"United States","fax_number":"920-257-4559","postal_code":"543118303","state":"WI","telephone_number":"920-965-0345"},{"address_1":"2221 S WEBSTER AVE","address_2":"STE 241","address_purpose":"MAILING","address_type":"DOM","city":"GREEN BAY","country_code":"US","country_name":"United States","fax_number":"920-273-6011","postal_code":"543012158","state":"WI","telephone_number":"920-965-0345"}],"basic":{"certification_date":"2020-09-29","credential":"MD","enumeration_date":"2007-04-16","first_name":"KEVAN","last_name":"LEWIS","last_updated":"2023-03-07","middle_name":"G","sex":"M","sole_proprietor":"NO","status":"A"},"created_epoch":"1176735383000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"1497970560","issuer":null,"state":"WI"},{"code":"01","desc":"Other (non-Medicare)","identifier":"53110-020","issuer":"State License","state":"WI"},{"code":"05","desc":"MEDICAID","identifier":"ENROLLED","issuer":null,"state":"MN"},{"code":"05","desc":"MEDICAID","identifier":"ENROLLED","issuer":null,"state":"IA"},{"code":"01","desc":"Other (non-Medicare)","identifier":"P00787809","issuer":"Railroad Medicare","state":"MN"}],"last_updated_epoch":"1678238276000","number":"1497970560","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"207N00000X","desc":"Dermatology","license":"53110-20","primary":false,"state":"WI","taxonomy_group":""},{"code":"207N00000X","desc":"Dermatology","license":"51745","primary":false,"state":"MN","taxonomy_group":""},{"code":"207N00000X","desc":"Dermatology","license":"LP00514","primary":false,"state":"RI","taxonomy_group":""},{"code":"207ND0101X","desc":"Dermatology, MOHS-Micrographic Surgery","license":"53110-020","primary":true,"state":"WI","taxonomy_group":""}]}]}