{"npi":"1205935004","type":"NPI-1","status":"active","name":{"display":"Terese Selvage Mn, Cnp","other":[{"code":"1","type":"Formerly known as","value":"O'NEIL, TERESE AILEEN"}],"first":"TERESE","last":"SELVAGE","middle":"AILEEN O'NEIL","credential":"MN, CNP"},"specialty":{"primary_taxonomy":"363LA2200X","primary_taxonomy_description":"Adult Health Nurse Practitioner","slug":"adult-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"NM","license":"CNP00790"},{"code":"363LA2200X","description":"Adult Health Nurse Practitioner","primary":true,"state":"NM","license":"R36675"}]},"addresses":[{"purpose":"LOCATION","street_1":"1160 CAMINO DE CRUZ BLANCA","city":"SANTA FE","state":"NM","postal_code":"875054584","country_code":"US","phone":"5059846418","fax":"5059846918"},{"purpose":"MAILING","street_1":"PO BOX 6880","city":"SANTA FE","state":"NM","postal_code":"875026880","country_code":"US","phone":"5052160332","fax":"5059820279"}],"license":{"state":"NM","number":"R36675"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141110002185","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NM","pac_id":"1254553100"}]},"enumeration_date":"2006-09-21","last_updated":"2024-01-17","_meta":{"source":"NPPES","snapshot_date":"2024-01-17","doc_url":"https://findmynpi.com/api"}}