{"npi":"1629654298","type":"NPI-1","status":"active","name":{"display":"Ms. Kyria Buchanan Pmhnp","other":[{"code":"1","type":"Formerly known as","value":"KONIECZNY, KYRIA"}],"first":"KYRIA","last":"BUCHANAN","middle":"ANASTASIA","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":false,"state":"MO","license":"2015016704"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"MO","license":"2021010405"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"IL","license":"209023411"}]},"addresses":[{"purpose":"LOCATION","street_1":"520 FULLERTON RD STE B","city":"SWANSEA","state":"IL","postal_code":"622262901","country_code":"US","phone":"6182770006","fax":"6182570641"},{"purpose":"MAILING","street_1":"520 FULLERTON RD STE B","city":"SWANSEA","state":"IL","postal_code":"622262901","country_code":"US","phone":"6182770006","fax":"6182570641"}],"license":{"state":"IL","number":"209023411"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210414001533","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MO","pac_id":"8628486552"},{"enrlmt_id":"I20230830002901","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"IL","pac_id":"8628486552"}]},"enumeration_date":"2021-03-23","last_updated":"2025-07-17","_meta":{"source":"NPPES","snapshot_date":"2025-07-17","doc_url":"https://findmynpi.com/api"}}