{"npi":"1396185054","type":"NPI-1","status":"active","name":{"display":"Carla Walkley NP","other":[],"first":"CARLA","last":"WALKLEY","middle":"FAVARO","credential":"NP"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"WI","license":"102595"},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"IL","license":"209031504"},{"code":"363LP0200X","description":"Nurse Practitioner, Pediatrics","primary":false,"state":"NC","license":"5014110"},{"code":"363LP2300X","description":"Primary Care Nurse Practitioner","primary":false,"state":"NC","license":"5014110"},{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"NC","license":"5014110"}]},"addresses":[{"purpose":"LOCATION","street_1":"2709 WATER RIDGE PKWY","city":"CHARLOTTE","state":"NC","postal_code":"282174596","country_code":"US","street_2":"STE 500","phone":"8554380010"},{"purpose":"MAILING","street_1":"PO BOX 19305","city":"CHARLOTTE","state":"NC","postal_code":"282199305","country_code":"US"}],"license":{"state":"NC","number":"5014110"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100317173","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240311001358","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NC","pac_id":"1254568280"},{"enrlmt_id":"I20250423002660","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"IL","pac_id":"1254568280"},{"enrlmt_id":"I20250423002858","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"WI","pac_id":"1254568280"},{"enrlmt_id":"I20250603001092","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"GA","pac_id":"1254568280"}]},"enumeration_date":"2013-06-26","last_updated":"2025-10-14","_meta":{"source":"NPPES","snapshot_date":"2025-10-14","doc_url":"https://findmynpi.com/api"}}