{"npi":"1417572173","type":"NPI-1","status":"active","name":{"display":"Fairy Laine Manzano","other":[],"first":"FAIRY LAINE","last":"MANZANO","middle":"ESPINA"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"163WP0808X","description":"Psychiatric/Mental Health Registered Nurse","primary":false,"state":"NY","license":"730040"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"NY","license":"406726"}]},"addresses":[{"purpose":"LOCATION","street_1":"20 EXETER AVE","city":"LYNBROOK","state":"NY","postal_code":"115633710","country_code":"US","phone":"3473512454"},{"purpose":"MAILING","street_1":"600 E 125TH ST","city":"NEW YORK","state":"NY","postal_code":"100356000","country_code":"US","phone":"6467664000"}],"license":{"state":"NY","number":"406726"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250826000370","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NY","pac_id":"9234639089"}]},"enumeration_date":"2020-06-09","last_updated":"2025-04-13","_meta":{"source":"NPPES","snapshot_date":"2025-04-13","doc_url":"https://findmynpi.com/api"}}