{"npi":"1104435148","type":"NPI-1","status":"active","name":{"display":"Jeannette Loftin Agacnp","other":[{"code":"1","type":"Formerly known as","value":"GOMEZ, JEANNETTE MARIE"}],"first":"JEANNETTE","last":"LOFTIN","middle":"MARIE","credential":"AGACNP"},"specialty":{"primary_taxonomy":"363LG0600X","primary_taxonomy_description":"Gerontology Nurse Practitioner","slug":"gerontology-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"SC","license":"31205"},{"code":"363LG0600X","description":"Gerontology Nurse Practitioner","primary":true,"state":"SD","license":"CP002640"}]},"addresses":[{"purpose":"LOCATION","street_1":"196 CARDIOLOGY DR","city":"ROCK HILL","state":"SC","postal_code":"297321174","country_code":"US","phone":"8033245135","fax":"8033248161"},{"purpose":"MAILING","street_1":"196 CARDIOLOGY DR","city":"ROCK HILL","state":"SC","postal_code":"297321174","country_code":"US","phone":"8033245135","fax":"8033248161"}],"license":{"state":"SD","number":"CP002640"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230608001669","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MN","pac_id":"4486058005"}]},"enumeration_date":"2020-07-27","last_updated":"2025-12-16","_meta":{"source":"NPPES","snapshot_date":"2025-12-16","doc_url":"https://findmynpi.com/api"}}