{"npi":"1629755657","type":"NPI-1","status":"active","name":{"display":"Rebecca Broderick Acnpc-Ag, BSN, RN","other":[{"code":"1","type":"Formerly known as","value":"BRODERICK, REBECCA"}],"first":"REBECCA","last":"BRODERICK","credential":"ACNPC-AG, BSN, RN"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"WA","license":"61413663-NP"}]},"addresses":[{"purpose":"LOCATION","street_1":"677 WOODLAND SQUARE LOOP SE STE D7","city":"LACEY","state":"WA","postal_code":"985031000","country_code":"US","phone":"7034476155"},{"purpose":"MAILING","street_1":"18824 MOUNTAIN POINT DR","city":"EAGLE RIVER","state":"AK","postal_code":"995778555","country_code":"US","phone":"7034476155"}],"license":{"state":"WA","number":"61413663-NP"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240308003642","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"WA","pac_id":"0244676575"}]},"enumeration_date":"2023-06-30","last_updated":"2023-06-30","_meta":{"source":"NPPES","snapshot_date":"2023-06-30","doc_url":"https://findmynpi.com/api"}}