{"npi":"1104133933","type":"NPI-1","status":"active","name":{"display":"Carrie Wiechmann NP","other":[{"code":"1","type":"Formerly known as","value":"MOAR, CARRIE ANN"}],"first":"CARRIE","last":"WIECHMANN","middle":"ANN","credential":"NP"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"NE","license":"114003"}]},"addresses":[{"purpose":"LOCATION","street_1":"4350 DEWEY AVE","city":"OMAHA","state":"NE","postal_code":"68105","country_code":"US","phone":"3104232641","fax":"3104232356"},{"purpose":"MAILING","street_1":"4350 DEWEY AVE","city":"OMAHA","state":"NE","postal_code":"681051017","country_code":"US"}],"license":{"state":"NE","number":"114003"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"03494828","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20221005002655","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NE","pac_id":"5698955573"}]},"enumeration_date":"2010-08-31","last_updated":"2024-08-29","_meta":{"source":"NPPES","snapshot_date":"2024-08-29","doc_url":"https://findmynpi.com/api"}}