{"npi":"1346624095","type":"NPI-1","status":"active","name":{"display":"Desiree Raynor NP-C","other":[],"first":"DESIREE","last":"RAYNOR","credential":"NP-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":true,"state":"TN","license":"APN0000019740"}]},"addresses":[{"purpose":"LOCATION","street_1":"818 SUNSET DR STE 102","city":"JOHNSON CITY","state":"TN","postal_code":"376048310","country_code":"US","phone":"4237943142"},{"purpose":"MAILING","street_1":"818 SUNSET DR STE 102","city":"JOHNSON CITY","state":"TN","postal_code":"376048310","country_code":"US"}],"license":{"state":"TN","number":"APN0000019740"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"Q015505","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20151016000789","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TN","pac_id":"4981913845"}]},"enumeration_date":"2015-07-13","last_updated":"2016-07-22","_meta":{"source":"NPPES","snapshot_date":"2016-07-22","doc_url":"https://findmynpi.com/api"}}