{"npi":"1477511665","type":"NPI-1","status":"active","name":{"display":"Thomas Green FNP-Bc","other":[],"first":"THOMAS","last":"GREEN","middle":"ALAN","credential":"FNP-BC"},"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":"AZ","license":"RN078764"}]},"addresses":[{"purpose":"LOCATION","street_1":"12630 N 103RD AVE STE 142","city":"SUN CITY","state":"AZ","postal_code":"853513463","country_code":"US","phone":"4802752022","fax":"8885516092"},{"purpose":"MAILING","street_1":"12630 N 103RD AVE STE 142","city":"SUN CITY","state":"AZ","postal_code":"853513463","country_code":"US","phone":"4802752022","fax":"8885516092"}],"license":{"state":"AZ","number":"RN078764"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"769044","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20031104000625","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"AZ","pac_id":"3274445556"}]},"enumeration_date":"2006-05-04","last_updated":"2022-02-08","_meta":{"source":"NPPES","snapshot_date":"2022-02-08","doc_url":"https://findmynpi.com/api"}}