{"npi":"1053910794","type":"NPI-1","status":"active","name":{"display":"Timika Goodson FNP-C, Pmhnp-Bc","other":[{"code":"1","type":"Formerly known as","value":"FISHER, TIMIKA SHANTE"}],"first":"TIMIKA","last":"GOODSON","middle":"SHANTE","credential":"FNP-C, 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":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"DC","license":"RN1055089"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"DC","license":"RN1055089"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"MD","license":"R228537"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"MD","license":"R228537"},{"code":"163WC1500X","description":"Community Health Registered Nurse","primary":false,"state":"DC","license":"RN1055089"},{"code":"163WH0200X","description":"Home Health Registered Nurse","primary":false,"state":"MD","license":"R228537"}]},"addresses":[{"purpose":"LOCATION","street_1":"3421 GENTLE BREEZE DR # A","city":"UPPER MARLBORO","state":"MD","postal_code":"207722549","country_code":"US","phone":"4435292027","fax":"2403069503"},{"purpose":"MAILING","street_1":"3421 GENTLE BREEZE DR","city":"UPPER MARLBORO","state":"MD","postal_code":"207722549","country_code":"US","phone":"4435292027"}],"license":{"state":"MD","number":"R228537"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230418001697","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"DC","pac_id":"9335553064"},{"enrlmt_id":"I20240108006173","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MD","pac_id":"9335553064"}]},"enumeration_date":"2020-10-23","last_updated":"2024-01-30","_meta":{"source":"NPPES","snapshot_date":"2024-01-30","doc_url":"https://findmynpi.com/api"}}