{"npi":"1154845147","type":"NPI-1","status":"active","name":{"display":"Kassidy Wall FNP","other":[{"code":"1","type":"Formerly known as","value":"BYNUM, KASSIDY"}],"first":"KASSIDY","last":"WALL","middle":"B","credential":"FNP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"LA","license":"AP09476"}]},"addresses":[{"purpose":"LOCATION","street_1":"1970 N HIGHWAY 190","city":"COVINGTON","state":"LA","postal_code":"704335364","country_code":"US","phone":"9854005988","fax":"9858673644"},{"purpose":"MAILING","street_1":"PO BOX 3370","city":"COVINGTON","state":"LA","postal_code":"704343370","country_code":"US","phone":"9858678585","fax":"9858673644"}],"license":{"state":"LA","number":"AP09476"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171201000212","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"LA","pac_id":"8022375922"}]},"enumeration_date":"2017-08-01","last_updated":"2025-09-29","_meta":{"source":"NPPES","snapshot_date":"2025-09-29","doc_url":"https://findmynpi.com/api"}}