{"npi":"1124271598","type":"NPI-1","status":"active","name":{"display":"Mrs. Diane Bickle Cpnp","other":[{"code":"1","type":"Formerly known as","value":"SMITH, DIANE M"}],"first":"DIANE","last":"BICKLE","middle":"MICHELE","credential":"CPNP"},"specialty":{"primary_taxonomy":"363LP0200X","primary_taxonomy_description":"Nurse Practitioner, Pediatrics","slug":"nurse-practitioner-pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"363LP0200X","description":"Nurse Practitioner, Pediatrics","primary":true,"state":"AZ","license":"AP2757"}]},"addresses":[{"purpose":"LOCATION","street_1":"2202 N STOCKTON HILL RD STE 100","city":"KINGMAN","state":"AZ","postal_code":"864014622","country_code":"US","phone":"9286818706","fax":"9288618707"},{"purpose":"MAILING","street_1":"4311 RAFTER B AVE","city":"KINGMAN","state":"AZ","postal_code":"864017308","country_code":"US","phone":"6028096364"}],"license":{"state":"AZ","number":"AP2757"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"596098","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20251016003116","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"AZ","pac_id":"3971892316"}]},"enumeration_date":"2008-10-29","last_updated":"2024-04-03","_meta":{"source":"NPPES","snapshot_date":"2024-04-03","doc_url":"https://findmynpi.com/api"}}