{"npi":"1053166199","type":"NPI-1","status":"active","name":{"display":"Willie Sly Pmhnp-Bc","other":[],"first":"WILLIE","last":"SLY","credential":"PMHNP-BC"},"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":"ID","license":"5971891"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"CA","license":"95038910"}]},"addresses":[{"purpose":"LOCATION","street_1":"2448 GUERNEVILLE RD STE 800","city":"SANTA ROSA","state":"CA","postal_code":"954037228","country_code":"US","phone":"7077727522"},{"purpose":"MAILING","street_1":"2448 GUERNEVILLE RD STE 800","city":"SANTA ROSA","state":"CA","postal_code":"954037228","country_code":"US","phone":"7077727522"}],"license":{"state":"CA","number":"95038910"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-04-22","last_updated":"2026-05-05","_meta":{"source":"NPPES","snapshot_date":"2026-05-05","doc_url":"https://findmynpi.com/api"}}