{"npi":"1144635376","type":"NPI-1","status":"active","name":{"display":"Kelly Glisson NP","other":[],"first":"KELLY","last":"GLISSON","middle":"LEE","credential":"NP"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"NC","license":"229280"},{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"NC","license":"5006909"}]},"addresses":[{"purpose":"LOCATION","street_1":"2421 SILVER STREAM LN","city":"WILMINGTON","state":"NC","postal_code":"284017684","country_code":"US","phone":"9103413300","fax":"9102512067"},{"purpose":"MAILING","street_1":"PO BOX 751069","city":"CHARLOTTE","state":"NC","postal_code":"282751069","country_code":"US","street_2":"ECU PHYSICIANS"}],"license":{"state":"NC","number":"5006909"},"identifiers":[{"type_code":"01","label":"Other","value":"188F4","state":"NC","issuer":"BCBSNC"},{"type_code":"05","label":"Medicaid","value":"1144635376","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141022001098","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NC","pac_id":"9830310549"}]},"enumeration_date":"2014-06-26","last_updated":"2020-01-17","_meta":{"source":"NPPES","snapshot_date":"2020-01-17","doc_url":"https://findmynpi.com/api"}}