{"npi":"1497461990","type":"NPI-1","status":"active","name":{"display":"Kelly Norman Cnp","other":[{"code":"1","type":"Formerly known as","value":"NORTHWAY, KELLY RAE"}],"first":"KELLY","last":"NORMAN","middle":"RAE","credential":"CNP"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"MN","license":"9891"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"MN","license":"9891"},{"code":"101YA0400X","description":"Addiction Counselor","primary":false,"state":"MN","license":"302580"}]},"addresses":[{"purpose":"LOCATION","street_1":"4801 VETERANS DR","city":"SAINT CLOUD","state":"MN","postal_code":"563032015","country_code":"US","phone":"3202521670"},{"purpose":"MAILING","street_1":"4801 VETERANS DR","city":"SAINT CLOUD","state":"MN","postal_code":"563032015","country_code":"US","phone":"3202521670"}],"license":{"state":"MN","number":"9891"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2023-01-27","last_updated":"2025-09-15","_meta":{"source":"NPPES","snapshot_date":"2025-09-15","doc_url":"https://findmynpi.com/api"}}