{"npi":"1124329206","type":"NPI-1","status":"active","name":{"display":"Jaycie Liebendorfer APRN, Cnp","other":[{"code":"1","type":"Formerly known as","value":"ROOP, JAYCIE N"}],"first":"JAYCIE","last":"LIEBENDORFER","middle":"N","credential":"APRN, CNP"},"specialty":{"primary_taxonomy":"363LP2300X","primary_taxonomy_description":"Primary Care Nurse Practitioner","slug":"primary-care-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"IL","license":"209008461"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"IL","license":"209008461"},{"code":"363LP2300X","description":"Primary Care Nurse Practitioner","primary":true,"state":"IL","license":"209008461"}]},"addresses":[{"purpose":"LOCATION","street_1":"1701 E COLLEGE AVE","city":"BLOOMINGTON","state":"IL","postal_code":"617042100","country_code":"US","phone":"3096643130","fax":"3096643258"},{"purpose":"MAILING","street_1":"1701 E COLLEGE AVE","city":"BLOOMINGTON","state":"IL","postal_code":"617042101","country_code":"US","phone":"3096643130","fax":"3096643258"}],"license":{"state":"IL","number":"209008461"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110217000678","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"IL","pac_id":"5890976294"}]},"enumeration_date":"2010-11-05","last_updated":"2025-02-25","_meta":{"source":"NPPES","snapshot_date":"2025-02-25","doc_url":"https://findmynpi.com/api"}}