{"npi":"1356210876","type":"NPI-1","status":"active","name":{"display":"Mrs. Sandra Vance FNP-C","other":[],"first":"SANDRA","last":"VANCE","middle":"KAY","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":true,"state":"WV","license":"124386"},{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"WV","license":"124386"}]},"addresses":[{"purpose":"LOCATION","street_1":"141 E 2ND AVE STE 100","city":"WILLIAMSON","state":"WV","postal_code":"256613601","country_code":"US","phone":"3044430233"},{"purpose":"MAILING","street_1":"PO BOX 390","city":"HUNTINGTON","state":"WV","postal_code":"257080390","country_code":"US","phone":"3044291088"}],"license":{"state":"WV","number":"124386"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20260226000729","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"WV","pac_id":"5597246645"}]},"enumeration_date":"2025-11-03","last_updated":"2025-12-11","_meta":{"source":"NPPES","snapshot_date":"2025-12-11","doc_url":"https://findmynpi.com/api"}}