{"npi":"1083604441","type":"NPI-1","status":"active","name":{"display":"Connie Green Cfnp","other":[],"first":"CONNIE","last":"GREEN","credential":"CFNP"},"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":"WV","license":"34033"},{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"WV","license":"34033"}]},"addresses":[{"purpose":"LOCATION","street_1":"1902 HARPER RD STE ABC","city":"BECKLEY","state":"WV","postal_code":"258012642","country_code":"US","phone":"3042533000","fax":"3049292038"},{"purpose":"MAILING","street_1":"1902 HARPER RD STE ABC","city":"BECKLEY","state":"WV","postal_code":"258012642","country_code":"US","phone":"3042533000","fax":"3049292038"}],"license":{"state":"WV","number":"34033"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0166829000","state":"WV","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130709000554","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"WV","pac_id":"9931349271"}]},"enumeration_date":"2005-10-26","last_updated":"2025-09-26","_meta":{"source":"NPPES","snapshot_date":"2025-09-26","doc_url":"https://findmynpi.com/api"}}