{"npi":"1245095512","type":"NPI-2","status":"active","name":{"display":"Southeast Virginia Psychiatry PLLC","other":[],"organization_name":"SOUTHEAST VIRGINIA PSYCHIATRY PLLC","authorised_official":"Edward Evard"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"5345 FAIRFIELD BLVD","city":"VIRGINIA BEACH","state":"VA","postal_code":"234642509","country_code":"US","phone":"7576333662"},{"purpose":"MAILING","street_1":"5345 FAIRFIELD BLVD","city":"VIRGINIA BEACH","state":"VA","postal_code":"234642509","country_code":"US","phone":"7576333662"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240606000071","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"VA","pac_id":"2961944988"}]},"enumeration_date":"2024-02-15","last_updated":"2024-02-20","_meta":{"source":"NPPES","snapshot_date":"2024-02-20","doc_url":"https://findmynpi.com/api"}}