{"npi":"1104225499","type":"NPI-1","status":"active","name":{"display":"Dr. Pennie Bucilla APRN Cnp","other":[],"first":"PENNIE","last":"BUCILLA","middle":"ELIZABETH","credential":"APRN CNP"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"MN","license":"R156407-9"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"MN","license":"R156407-9 CNP1972"}]},"addresses":[{"purpose":"LOCATION","street_1":"1500 MCANDREWS RD W","city":"BURNSVILLE","state":"MN","postal_code":"55337","country_code":"US","phone":"9528929393","fax":"9528008892"},{"purpose":"MAILING","street_1":"1500 MCANDREWS RD W","city":"BURNSVILLE","state":"MN","postal_code":"55337","country_code":"US","phone":"9528929393"}],"license":{"state":"MN","number":"R156407-9 CNP1972"},"identifiers":[{"type_code":"01","label":"Other","value":"1104225499","state":"MN","issuer":"MINNESOTA HEALTH CARE PROGRAMS (MHCP)"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150612002432","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MN","pac_id":"3971814245"}]},"enumeration_date":"2014-08-22","last_updated":"2020-09-23","_meta":{"source":"NPPES","snapshot_date":"2020-09-23","doc_url":"https://findmynpi.com/api"}}