{"npi":"1255434742","type":"NPI-1","status":"active","name":{"display":"Dr. Beverly Johnson MD","other":[],"first":"BEVERLY","last":"JOHNSON","middle":"ANN","credential":"MD"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":false,"state":"VA","license":"0101283661"},{"code":"207NS0135X","description":"Procedural Dermatology Physician","primary":false,"state":"FL","license":"ME134621"},{"code":"207NS0135X","description":"Procedural Dermatology Physician","primary":false,"state":"MD","license":"13244"},{"code":"207N00000X","description":"Dermatology","primary":true,"state":"FL","license":"ME134621"}]},"addresses":[{"purpose":"LOCATION","street_1":"2000 MEADE PKWY","city":"SUFFOLK","state":"VA","postal_code":"234344260","country_code":"US","phone":"7579349395"},{"purpose":"MAILING","street_1":"PO BOX 100279","city":"GAINESVILLE","state":"FL","postal_code":"326100279","country_code":"US","phone":"3525941942","fax":"3525941926"}],"license":{"state":"FL","number":"ME134621"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230607003935","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"MD","pac_id":"2365592011"},{"enrlmt_id":"I20241119003015","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"VA","pac_id":"2365592011"},{"enrlmt_id":"I20260219003744","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"WA","pac_id":"2365592011"}]},"enumeration_date":"2006-09-07","last_updated":"2024-10-04","_meta":{"source":"NPPES","snapshot_date":"2024-10-04","doc_url":"https://findmynpi.com/api"}}