{"npi":"1295563161","type":"NPI-1","status":"active","name":{"display":"Dr. Justin Moy DNP, Crnp","other":[],"first":"JUSTIN","last":"MOY","credential":"DNP, CRNP"},"specialty":{"primary_taxonomy":"363LP2300X","primary_taxonomy_description":"Primary Care Nurse Practitioner","slug":"primary-care-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LG0600X","description":"Gerontology Nurse Practitioner","primary":false,"state":"MD","license":"R239415"},{"code":"363LP2300X","description":"Primary Care Nurse Practitioner","primary":true,"state":"MD","license":"R239415"}]},"addresses":[{"purpose":"LOCATION","street_1":"5900 WATERLOO RD STE 200","city":"COLUMBIA","state":"MD","postal_code":"210452641","country_code":"US","phone":"4107402900","fax":"4107402955"},{"purpose":"MAILING","street_1":"7580 BUCKINGHAM BLVD STE 220","city":"HANOVER","state":"MD","postal_code":"210763210","country_code":"US","phone":"4107295100"}],"license":{"state":"MD","number":"R239415"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241005000026","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MD","pac_id":"0446781140"}]},"enumeration_date":"2024-07-23","last_updated":"2024-09-23","_meta":{"source":"NPPES","snapshot_date":"2024-09-23","doc_url":"https://findmynpi.com/api"}}