{"npi":"1366624728","type":"NPI-1","status":"active","name":{"display":"Jeri Dine Anp","other":[{"code":"1","type":"Formerly known as","value":"GALLOWAY, JERI"}],"first":"JERI","last":"DINE","credential":"ANP"},"specialty":{"primary_taxonomy":"363LA2200X","primary_taxonomy_description":"Adult Health Nurse Practitioner","slug":"adult-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LA2200X","description":"Adult Health Nurse Practitioner","primary":true,"state":"IN","license":"71000423A"},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"IN","license":"71000423A"}]},"addresses":[{"purpose":"LOCATION","street_1":"1600 ALBANY ST","city":"BEECH GROVE","state":"IN","postal_code":"461071541","country_code":"US","street_2":"SOUTH ENTRANCE GROUND FLOOR","phone":"3178591090","fax":"3178593322"},{"purpose":"MAILING","street_1":"PO BOX 100","city":"BEECH GROVE","state":"IN","postal_code":"461070100","country_code":"US","phone":"3178591090","fax":"3178593322"}],"license":{"state":"IN","number":"71000423A"},"identifiers":[{"type_code":"01","label":"Other","value":"0011953-21","state":"IN","issuer":"NP CERTIFICATION"},{"type_code":"01","label":"Other","value":"000000041022","state":"IN","issuer":"M PLAN"},{"type_code":"01","label":"Other","value":"35-4994904","state":"IN","issuer":"TID"},{"type_code":"01","label":"Other","value":"P00068634","state":"IN","issuer":"RR MEDICARE"},{"type_code":"01","label":"Other","value":"11478722","state":"IN","issuer":"CAQH"},{"type_code":"01","label":"Other","value":"28065854A","state":"IN","issuer":"RN LICENSE"},{"type_code":"01","label":"Other","value":"71000423B","state":"IN","issuer":"CSR"},{"type_code":"01","label":"Other","value":"000000550394","state":"IN","issuer":"ANTHEM"},{"type_code":"05","label":"Medicaid","value":"200307870","state":"IN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-11-28","last_updated":"2023-03-07","_meta":{"source":"NPPES","snapshot_date":"2023-03-07","doc_url":"https://findmynpi.com/api"}}