{"npi":"1295409423","type":"NPI-2","status":"active","name":{"display":"Johnson Riverside Family Practice LLC","other":[],"organization_name":"JOHNSON RIVERSIDE FAMILY PRACTICE LLC","authorised_official":"Jennifer Johnson"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"43 AVENUE J","city":"MOORE HAVEN","state":"FL","postal_code":"33471","country_code":"US","phone":"8635991620"},{"purpose":"MAILING","street_1":"43 AVENUE J SW","city":"MOORE HAVEN","state":"FL","postal_code":"334712116","country_code":"US","phone":"8639460284","fax":"8639460794"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20210916002176","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"5496152555"}]},"enumeration_date":"2021-08-02","last_updated":"2022-10-11","_meta":{"source":"NPPES","snapshot_date":"2022-10-11","doc_url":"https://findmynpi.com/api"}}