{"npi":"1194956755","type":"NPI-1","status":"active","name":{"display":"Mrs. Elizabeth Thompson APRN","other":[{"code":"1","type":"Formerly known as","value":"KACZMAREK, ELIZABETH KAY"}],"first":"ELIZABETH","last":"THOMPSON","middle":"K","credential":"APRN"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"364SF0001X","description":"Family Health Clinical Nurse Specialist","primary":false,"state":"TN","license":"14039"},{"code":"364SF0001X","description":"Family Health Clinical Nurse Specialist","primary":false,"state":"TN","license":"0000014039"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"TN","license":"14039"}]},"addresses":[{"purpose":"LOCATION","street_1":"6029 WALNUT GROVE RD STE C002","city":"MEMPHIS","state":"TN","postal_code":"381202112","country_code":"US","phone":"9012263190","fax":"9012263191"},{"purpose":"MAILING","street_1":"6799 GREAT OAKS RD STE 250","city":"MEMPHIS","state":"TN","postal_code":"381382584","country_code":"US","phone":"9016853490","fax":"9016853499"}],"license":{"state":"TN","number":"14039"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1521590","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101109000978","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TN","pac_id":"3870788490"},{"enrlmt_id":"I20150713001005","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MS","pac_id":"3870788490"}]},"enumeration_date":"2009-07-30","last_updated":"2019-01-04","_meta":{"source":"NPPES","snapshot_date":"2019-01-04","doc_url":"https://findmynpi.com/api"}}