{"npi":"1336737840","type":"NPI-1","status":"active","name":{"display":"Ketevan Jorjadze FNP-C","other":[],"first":"KETEVAN","last":"JORJADZE","credential":"FNP-C"},"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":"NY","license":"F346697"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"CA","license":"95017739"}]},"addresses":[{"purpose":"LOCATION","street_1":"3636 FIFTH AVE STE 300","city":"SAN DIEGO","state":"CA","postal_code":"921034230","country_code":"US","phone":"6198145500"},{"purpose":"MAILING","street_1":"3636 5TH AVE","city":"SAN DIEGO","state":"CA","postal_code":"921034230","country_code":"US","street_2":"STE 300","phone":"6198145500","fax":"6197940260"}],"license":{"state":"CA","number":"95017739"},"identifiers":[{"type_code":"01","label":"Other","value":"F346697","state":"NY","issuer":"NYS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220208002382","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CA","pac_id":"5193118537"}]},"enumeration_date":"2021-01-10","last_updated":"2022-07-28","_meta":{"source":"NPPES","snapshot_date":"2022-07-28","doc_url":"https://findmynpi.com/api"}}