{"npi":"1609115534","type":"NPI-1","status":"active","name":{"display":"Matthew Pettit APRN","other":[],"first":"MATTHEW","last":"PETTIT","middle":"J","credential":"APRN"},"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":"FL","license":"APRN9262459"},{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"FL","license":"APRN9262459"}]},"addresses":[{"purpose":"LOCATION","street_1":"3225 S MACDILL AVE STE 129-300","city":"TAMPA","state":"FL","postal_code":"336298171","country_code":"US","phone":"8134416803","fax":"8135246352"},{"purpose":"MAILING","street_1":"3225 S MACDILL AVE STE 129-300","city":"TAMPA","state":"FL","postal_code":"336298171","country_code":"US","phone":"8134416803","fax":"8135246352"}],"license":{"state":"FL","number":"APRN9262459"},"identifiers":[{"type_code":"01","label":"Other","value":"P01970837","state":"FL","issuer":"RAILROAD MEDICARE"},{"type_code":"05","label":"Medicaid","value":"102049900","state":"FL","issuer":null},{"type_code":"01","label":"Other","value":"Y0H23","state":"FL","issuer":"BCBS"},{"type_code":"05","label":"Medicaid","value":"008757400","state":"FL","issuer":null},{"type_code":"01","label":"Other","value":"APRN9262459","state":"FL","issuer":"FL LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130222000225","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"FL","pac_id":"6305091372"}]},"enumeration_date":"2013-02-13","last_updated":"2023-03-07","_meta":{"source":"NPPES","snapshot_date":"2023-03-07","doc_url":"https://findmynpi.com/api"}}