{"npi":"1609051168","type":"NPI-1","status":"active","name":{"display":"Thomas Johnson APRN, Cnp","other":[],"first":"THOMAS","last":"JOHNSON","credential":"APRN, 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":"163W00000X","description":"Registered Nurse","primary":false,"state":"MN","license":"R 179591-6"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"MN","license":"2950"}]},"addresses":[{"purpose":"LOCATION","street_1":"516 S POKEGAMA AVE","city":"GRAND RAPIDS","state":"MN","postal_code":"557443820","country_code":"US","phone":"2183272001","fax":"2183021457"},{"purpose":"MAILING","street_1":"516 S POKEGAMA AVE","city":"GRAND RAPIDS","state":"MN","postal_code":"557443820","country_code":"US","phone":"2183024468","fax":"2183021457"}],"license":{"state":"MN","number":"2950"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20131022001141","type_code":"14-89","type_desc":"PRACTITIONER - CERTIFIED CLINICAL NURSE SPECIALIST (CNS)","state":"MN","pac_id":"1254566557"}]},"enumeration_date":"2008-01-03","last_updated":"2023-11-29","_meta":{"source":"NPPES","snapshot_date":"2023-11-29","doc_url":"https://findmynpi.com/api"}}