{"npi":"1386408656","type":"NPI-1","status":"active","name":{"display":"Kelli Sullivan","other":[],"first":"KELLI","last":"SULLIVAN","middle":"ANNE-MARIE"},"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":"OK","license":"216574"}]},"addresses":[{"purpose":"LOCATION","street_1":"4409 N KICKAPOO AVE","city":"SHAWNEE","state":"OK","postal_code":"748041206","country_code":"US","phone":"4052424100"},{"purpose":"MAILING","street_1":"15266 RED STONE RD","city":"CHOCTAW","state":"OK","postal_code":"730207258","country_code":"US","phone":"4053135261"}],"license":{"state":"OK","number":"216574"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240223001799","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"OK","pac_id":"4981049475"}]},"enumeration_date":"2024-02-07","last_updated":"2024-02-07","_meta":{"source":"NPPES","snapshot_date":"2024-02-07","doc_url":"https://findmynpi.com/api"}}