{"npi":"1194345926","type":"NPI-1","status":"active","name":{"display":"Shelley Johnson","other":[],"first":"SHELLEY","last":"JOHNSON"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"IN","license":"71009998A"}]},"addresses":[{"purpose":"LOCATION","street_1":"8921 SOUTHPOINTE DR","city":"INDIANAPOLIS","state":"IN","postal_code":"462271084","country_code":"US","phone":"3173553155"},{"purpose":"MAILING","street_1":"6626 E 75TH ST STE 500","city":"INDIANAPOLIS","state":"IN","postal_code":"462502890","country_code":"US"}],"license":{"state":"IN","number":"71009998A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"300088373","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210712000983","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"IN","pac_id":"4880096015"}]},"enumeration_date":"2020-04-22","last_updated":"2024-04-05","_meta":{"source":"NPPES","snapshot_date":"2024-04-05","doc_url":"https://findmynpi.com/api"}}