{"npi":"1073684577","type":"NPI-1","status":"active","name":{"display":"Wanda Grainger FNP","other":[],"first":"WANDA","last":"GRAINGER","middle":"W","credential":"FNP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"SC","license":"1033"}]},"addresses":[{"purpose":"LOCATION","street_1":"3109 CASEY ST","city":"LORIS","state":"SC","postal_code":"295692807","country_code":"US","street_2":"SUITE A","phone":"8437569292","fax":"8437569260"},{"purpose":"MAILING","street_1":"PO BOX 3239","city":"FLORENCE","state":"SC","postal_code":"295023239","country_code":"US","phone":"8433929222","fax":"8433921445"}],"license":{"state":"SC","number":"1033"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"NP0792","state":"SC","issuer":null},{"type_code":"01","label":"Other","value":"AA58658552","state":"SC","issuer":"MEDICARE PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040615001322","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"SC","pac_id":"8527042787"}]},"enumeration_date":"2006-11-13","last_updated":"2021-02-03","_meta":{"source":"NPPES","snapshot_date":"2021-02-03","doc_url":"https://findmynpi.com/api"}}