{"npi":"1396201885","type":"NPI-1","status":"active","name":{"display":"Dominique Bethea NP","other":[],"first":"DOMINIQUE","last":"BETHEA","middle":"K","credential":"NP"},"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":"GA","license":"RN281107"}]},"addresses":[{"purpose":"LOCATION","street_1":"771 OLD NORCROSS RD STE 200","city":"LAWRENCEVILLE","state":"GA","postal_code":"300464980","country_code":"US","phone":"7703391387","fax":"7709627868"},{"purpose":"MAILING","street_1":"771 OLD NORCROSS RD STE 200","city":"LAWRENCEVILLE","state":"GA","postal_code":"300464980","country_code":"US","phone":"7703391387","fax":"7709627868"}],"license":{"state":"GA","number":"RN281107"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20201029002934","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"GA","pac_id":"6305256579"}]},"enumeration_date":"2019-02-20","last_updated":"2023-04-13","_meta":{"source":"NPPES","snapshot_date":"2023-04-13","doc_url":"https://findmynpi.com/api"}}