{"npi":"1043095656","type":"NPI-1","status":"active","name":{"display":"Kathryn Tietz NP","other":[{"code":"1","type":"Formerly known as","value":"TRAYNOR, KATHRYN JOAN"}],"first":"KATHRYN","last":"TIETZ","middle":"JOAN","credential":"NP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"MN","license":"10622"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"MN","license":"10622"}]},"addresses":[{"purpose":"LOCATION","street_1":"800 E 28TH ST STE H2100","city":"MINNEAPOLIS","state":"MN","postal_code":"554073723","country_code":"US","phone":"6128633900","fax":"6127753199"},{"purpose":"MAILING","street_1":"2925 CHICAGO AVE","city":"MINNEAPOLIS","state":"MN","postal_code":"554071321","country_code":"US","phone":"6122629000"}],"license":{"state":"MN","number":"10622"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231024000961","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MN","pac_id":"4284080532"}]},"enumeration_date":"2023-08-30","last_updated":"2024-04-22","_meta":{"source":"NPPES","snapshot_date":"2024-04-22","doc_url":"https://findmynpi.com/api"}}