{"npi":"1558055079","type":"NPI-1","status":"active","name":{"display":"Maribel Boggess NP","other":[{"code":"1","type":"Formerly known as","value":"CHAVEZ, MARIBEL BERENICE"}],"first":"MARIBEL","last":"BOGGESS","middle":"BERENICE","credential":"NP"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"IN","license":"28281613A"},{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"IN","license":"71014311A"}]},"addresses":[{"purpose":"LOCATION","street_1":"2651 E DISCOVERY PKWY","city":"BLOOMINGTON","state":"IN","postal_code":"474089059","country_code":"US","phone":"8123535252"},{"purpose":"MAILING","street_1":"250 N SHADELAND AVE","city":"INDIANAPOLIS","state":"IN","postal_code":"462194959","country_code":"US"}],"license":{"state":"IN","number":"71014311A"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231024003436","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"IN","pac_id":"0446606644"}]},"enumeration_date":"2023-06-07","last_updated":"2025-10-31","_meta":{"source":"NPPES","snapshot_date":"2025-10-31","doc_url":"https://findmynpi.com/api"}}