{"npi":"1013258193","type":"NPI-1","status":"active","name":{"display":"Mary Burns NP","other":[{"code":"1","type":"Formerly known as","value":"FAIRCHILDS, MARY ELIZABETH"}],"first":"MARY","last":"BURNS","middle":"ELIZABETH","credential":"NP"},"specialty":{"primary_taxonomy":"363LA2100X","primary_taxonomy_description":"Acute Care Nurse Practitioner","slug":"acute-care-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LA2100X","description":"Acute Care Nurse Practitioner","primary":true,"state":"SC","license":"18055"},{"code":"363LA2200X","description":"Adult Health Nurse Practitioner","primary":false,"state":"FL","license":"APRN11023774"}]},"addresses":[{"purpose":"LOCATION","street_1":"1401 JOHNSTON WILLIS DR","city":"NORTH CHESTERFIELD","state":"VA","postal_code":"232354730","country_code":"US","phone":"6159825804"},{"purpose":"MAILING","street_1":"PO BOX 743294","city":"ATLANTA","state":"GA","postal_code":"303743294","country_code":"US","phone":"8642204263","fax":"8642205836"}],"license":{"state":"SC","number":"18055"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"NP2889","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210208000136","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"VA","pac_id":"6204072093"},{"enrlmt_id":"I20230309001796","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"FL","pac_id":"6204072093"}]},"enumeration_date":"2013-03-14","last_updated":"2025-11-04","_meta":{"source":"NPPES","snapshot_date":"2025-11-04","doc_url":"https://findmynpi.com/api"}}