{"npi":"1285241554","type":"NPI-1","status":"active","name":{"display":"Mary Kackley","other":[],"first":"MARY","last":"KACKLEY"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"VA","license":"0024180229"},{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"DC","license":"NP1039064"}]},"addresses":[{"purpose":"LOCATION","street_1":"5255 LOUGHBORO RD NW","city":"WASHINGTON","state":"DC","postal_code":"200162633","country_code":"US","phone":"2025374000","fax":"2025374588"},{"purpose":"MAILING","street_1":"6201 GREENLEIGH AVE","city":"MIDDLE RIVER","state":"MD","postal_code":"212202004","country_code":"US","phone":"2025374000","fax":"4105004266"}],"license":{"state":"DC","number":"NP1039064"},"identifiers":[{"type_code":"01","label":"Other","value":"0024180229","state":"VA","issuer":"VIRGINIA BOARD OF NURSING"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20201221002715","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"DC","pac_id":"4486066107"}]},"enumeration_date":"2020-09-30","last_updated":"2025-07-21","_meta":{"source":"NPPES","snapshot_date":"2025-07-21","doc_url":"https://findmynpi.com/api"}}