{"npi":"1497197891","type":"NPI-1","status":"active","name":{"display":"Jeffrey Anderson NP","other":[],"first":"JEFFREY","last":"ANDERSON","middle":"C","credential":"NP"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"ID","license":"NP-1314A"}]},"addresses":[{"purpose":"LOCATION","street_1":"1069 SUMMERS DR STE B","city":"REXBURG","state":"ID","postal_code":"834405335","country_code":"US","phone":"2086079816","fax":"2085497883"},{"purpose":"MAILING","street_1":"1069 SUMMERS DR STE B","city":"REXBURG","state":"ID","postal_code":"834405335","country_code":"US","phone":"2086079816","fax":"2085497883"}],"license":{"state":"ID","number":"NP-1314A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2283927","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240927000761","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"WA","pac_id":"4385878149"}]},"enumeration_date":"2013-07-25","last_updated":"2025-03-19","_meta":{"source":"NPPES","snapshot_date":"2025-03-19","doc_url":"https://findmynpi.com/api"}}