{"npi":"1013420801","type":"NPI-1","status":"active","name":{"display":"Kelly Scott Pmhnp","other":[],"first":"KELLY","last":"SCOTT","middle":"MARIE","credential":"PMHNP"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"OH","license":"0216030"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"CA","license":"95015026"}]},"addresses":[{"purpose":"LOCATION","street_1":"2630 1ST AVE","city":"SAN DIEGO","state":"CA","postal_code":"921036599","country_code":"US","phone":"6197958746"},{"purpose":"MAILING","street_1":"2630 1ST AVE","city":"SAN DIEGO","state":"CA","postal_code":"921036599","country_code":"US","phone":"6192342158","fax":"6194879739"}],"license":{"state":"CA","number":"95015026"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190111002004","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"OH","pac_id":"0446518211"},{"enrlmt_id":"I20210114001214","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CA","pac_id":"0446518211"}]},"enumeration_date":"2017-11-15","last_updated":"2024-07-30","_meta":{"source":"NPPES","snapshot_date":"2024-07-30","doc_url":"https://findmynpi.com/api"}}