{"npi":"1265828230","type":"NPI-1","status":"active","name":{"display":"Tara Debardeleben NP","other":[],"first":"TARA","last":"DEBARDELEBEN","middle":"HELM","credential":"NP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"AZ","license":"AP7738"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"CO","license":"C-APN.0103406-C-NP"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"ID","license":"69134"}]},"addresses":[{"purpose":"LOCATION","street_1":"2201 E CAMELBACK RD STE 101A","city":"PHOENIX","state":"AZ","postal_code":"850163495","country_code":"US","phone":"8886636331","fax":"4152527176"},{"purpose":"MAILING","street_1":"222 N 2ND ST","city":"BOISE","state":"ID","postal_code":"837026130","country_code":"US","street_2":"STE 204","phone":"4156586791"}],"license":{"state":"ID","number":"69134"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150624000275","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"AZ","pac_id":"6305157900"},{"enrlmt_id":"I20220308000206","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"ID","pac_id":"6305157900"},{"enrlmt_id":"I20241218001024","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CO","pac_id":"6305157900"}]},"enumeration_date":"2015-04-07","last_updated":"2025-04-17","_meta":{"source":"NPPES","snapshot_date":"2025-04-17","doc_url":"https://findmynpi.com/api"}}