{"npi":"1306600523","type":"NPI-1","status":"active","name":{"display":"Verlyn Glenn Pmhnp-Bc","other":[],"first":"VERLYN","last":"GLENN","credential":"PMHNP-BC"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"ID","license":"66417"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"ID","license":"2861262"}]},"addresses":[{"purpose":"LOCATION","street_1":"1833 S MILLENIUM WAY STE 100","city":"MERIDIAN","state":"ID","postal_code":"836421510","country_code":"US","phone":"5098288307"},{"purpose":"MAILING","street_1":"1711 W WOOD CHIP ST","city":"MERIDIAN","state":"ID","postal_code":"836427322","country_code":"US","phone":"5098288307"}],"license":{"state":"ID","number":"2861262"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240924001388","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"ID","pac_id":"2062953599"}]},"enumeration_date":"2024-02-08","last_updated":"2024-07-13","_meta":{"source":"NPPES","snapshot_date":"2024-07-13","doc_url":"https://findmynpi.com/api"}}