{"npi":"1518307487","type":"NPI-1","status":"active","name":{"display":"Kathleen Martin Cnp","other":[{"code":"1","type":"Formerly known as","value":"GRAHAM, KATHLEEN"}],"first":"KATHLEEN","last":"MARTIN","credential":"CNP"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"MO","license":"2013019751"},{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"MO","license":"2013019751"}]},"addresses":[{"purpose":"LOCATION","street_1":"3850 S NATIONAL AVE","city":"SPRINGFIELD","state":"MO","postal_code":"658075287","country_code":"US","street_2":"SUITE 600","phone":"4178824880","fax":"4178827843"},{"purpose":"MAILING","street_1":"3850 S NATIONAL AVE","city":"SPRINGFIELD","state":"MO","postal_code":"658075287","country_code":"US","street_2":"SUITE 600","phone":"4178824880","fax":"4178827843"}],"license":{"state":"MO","number":"2013019751"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130909000551","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MO","pac_id":"0446494637"},{"enrlmt_id":"I20230315000330","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"IL","pac_id":"0446494637"},{"enrlmt_id":"I20230327002190","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"IA","pac_id":"0446494637"},{"enrlmt_id":"I20231012001343","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"WI","pac_id":"0446494637"}]},"enumeration_date":"2013-06-25","last_updated":"2020-05-27","_meta":{"source":"NPPES","snapshot_date":"2020-05-27","doc_url":"https://findmynpi.com/api"}}