{"npi":"1477584118","type":"NPI-1","status":"active","name":{"display":"Stacey Gourdoux Anp-C","other":[],"first":"STACEY","last":"GOURDOUX","middle":"ANN","credential":"ANP-C"},"specialty":{"primary_taxonomy":"363LA2200X","primary_taxonomy_description":"Adult Health Nurse Practitioner","slug":"adult-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"163WG0000X","description":"General Practice Registered Nurse","primary":false,"state":"AZ","license":"RN060766"},{"code":"363LA2200X","description":"Adult Health Nurse Practitioner","primary":true,"state":"AZ","license":"AP2224"}]},"addresses":[{"purpose":"LOCATION","street_1":"2550 W UNION HILLS DR STE 390","city":"PHOENIX","state":"AZ","postal_code":"850275197","country_code":"US","phone":"6024434068","fax":"6234348310"},{"purpose":"MAILING","street_1":"5151 E BROADWAY RD STE 107","city":"MESA","state":"AZ","postal_code":"852061346","country_code":"US","phone":"4802907000","fax":"6022546840"}],"license":{"state":"AZ","number":"AP2224"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"332832","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20060215000336","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"AZ","pac_id":"3971518739"}]},"enumeration_date":"2006-07-05","last_updated":"2025-10-07","_meta":{"source":"NPPES","snapshot_date":"2025-10-07","doc_url":"https://findmynpi.com/api"}}