{"npi":"1609564004","type":"NPI-1","status":"active","name":{"display":"Charlotte Kline Pmhnp","other":[{"code":"1","type":"Formerly known as","value":"SIDMAN, CHARLOTTE"}],"first":"CHARLOTTE","last":"KLINE","credential":"PMHNP"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"OR","license":"10007512"}]},"addresses":[{"purpose":"LOCATION","street_1":"1120 SW 3RD AVE","city":"PORTLAND","state":"OR","postal_code":"972042828","country_code":"US","phone":"5039883689"},{"purpose":"MAILING","street_1":"15795 SW 87TH AVE","city":"PORTLAND","state":"OR","postal_code":"972245686","country_code":"US","phone":"5039134594"}],"license":{"state":"OR","number":"10007512"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231107001934","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"OR","pac_id":"3274980693"}]},"enumeration_date":"2023-04-25","last_updated":"2023-04-25","_meta":{"source":"NPPES","snapshot_date":"2023-04-25","doc_url":"https://findmynpi.com/api"}}