{"npi":"1174652002","type":"NPI-1","status":"active","name":{"display":"Dr. Maryellen Dyer-Russell DNP, Pmhnp-Bc","other":[],"first":"MARYELLEN","last":"DYER-RUSSELL","credential":"DNP, PMHNP-BC"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0200X","description":"Nurse Practitioner, Pediatrics","primary":false,"state":"CA","license":"B333567-9664"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"CA","license":"9664"}]},"addresses":[{"purpose":"LOCATION","street_1":"1911 WILLIAMS DR","city":"OXNARD","state":"CA","postal_code":"930362612","country_code":"US","phone":"8059816830","fax":"8052893395"},{"purpose":"MAILING","street_1":"800 S VICTORIA AVE, L4615","city":"VENTURA","state":"CA","postal_code":"930090003","country_code":"US","street_2":"VCHCA - PHYSICIAN SERVICES","phone":"8056775181","fax":"8056775304"}],"license":{"state":"CA","number":"9664"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200528000713","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CA","pac_id":"6608297726"}]},"enumeration_date":"2007-03-05","last_updated":"2021-07-02","_meta":{"source":"NPPES","snapshot_date":"2021-07-02","doc_url":"https://findmynpi.com/api"}}