{"npi":"1154772283","type":"NPI-1","status":"active","name":{"display":"Theresa Mayo","other":[],"first":"THERESA","last":"MAYO"},"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":true,"state":"NY","license":"F401986"}]},"addresses":[{"purpose":"LOCATION","street_1":"100 BREWSTER BLVD","city":"CAMP LEJEUNE","state":"NC","postal_code":"285472575","country_code":"US","phone":"9104504700"},{"purpose":"MAILING","street_1":"100 BREWSTER BLVD","city":"CAMP LEJEUNE","state":"NC","postal_code":"285472575","country_code":"US","phone":"9104504700"}],"license":{"state":"NY","number":"F401986"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160823000391","type_code":"33-50","type_desc":"ORDER AND REFERRING ONLY - NURSE PRACTITIONER","state":"NY","pac_id":"7517252067"}]},"enumeration_date":"2016-06-30","last_updated":"2022-02-11","_meta":{"source":"NPPES","snapshot_date":"2022-02-11","doc_url":"https://findmynpi.com/api"}}