{"npi":"1194961979","type":"NPI-1","status":"active","name":{"display":"Mrs. Colleen Benson Apn, C.","other":[{"code":"1","type":"Formerly known as","value":"CONOVER, COLLEEN GAIL"}],"first":"COLLEEN","last":"BENSON","middle":"GAIL","credential":"APN, C."},"specialty":{"primary_taxonomy":"363LA2200X","primary_taxonomy_description":"Adult Health Nurse Practitioner","slug":"adult-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LA2200X","description":"Adult Health Nurse Practitioner","primary":false,"state":"NJ","license":"26NJ00178900"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"NJ","license":"26NJ00178900"},{"code":"363LA2200X","description":"Adult Health Nurse Practitioner","primary":true,"state":"FL","license":"APRN9472930"}]},"addresses":[{"purpose":"LOCATION","street_1":"1309 N FLAGLER DR","city":"WEST PALM BEACH","state":"FL","postal_code":"334013406","country_code":"US","phone":"5616555511","fax":"9544914812"},{"purpose":"MAILING","street_1":"314 EAST MALLORY CIRCLE","city":"DELRAY BEACH","state":"FL","postal_code":"33483","country_code":"US","phone":"6097313079","fax":"6097313079"}],"license":{"state":"FL","number":"APRN9472930"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"105360900","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200127000241","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"FL","pac_id":"6709060593"}]},"enumeration_date":"2008-12-26","last_updated":"2024-05-29","_meta":{"source":"NPPES","snapshot_date":"2024-05-29","doc_url":"https://findmynpi.com/api"}}