{"npi":"1073594263","type":"NPI-1","status":"active","name":{"display":"Stacey Kesterson Rnc MSN","other":[],"first":"STACEY","last":"KESTERSON","middle":"ANNE","credential":"RNC MSN"},"specialty":{"primary_taxonomy":"363LW0102X","primary_taxonomy_description":"Nurse Practitioner, Women's Health","slug":"nurse-practitioner-womens-health","schema_org_specialty":"Gynecologic","all":[{"code":"363LW0102X","description":"Nurse Practitioner, Women's Health","primary":true,"state":"TN","license":"96945"}]},"addresses":[{"purpose":"LOCATION","street_1":"305 N BELLWOOD RD","city":"MORRISTOWN","state":"TN","postal_code":"378141188","country_code":"US","phone":"8654712700","fax":"8654712704"},{"purpose":"MAILING","street_1":"305 N BELLWOOD RD","city":"MORRISTOWN","state":"TN","postal_code":"378141188","country_code":"US","phone":"8654712700","fax":"8654712704"}],"license":{"state":"TN","number":"96945"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3349271","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041013001136","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TN","pac_id":"0345200481"}]},"enumeration_date":"2005-11-07","last_updated":"2023-12-14","_meta":{"source":"NPPES","snapshot_date":"2023-12-14","doc_url":"https://findmynpi.com/api"}}