{"npi":"1639489545","type":"NPI-1","status":"active","name":{"display":"Mrs. Jennifer Midtlien Cnp","other":[],"first":"JENNIFER","last":"MIDTLIEN","middle":"LYNN","credential":"CNP"},"specialty":{"primary_taxonomy":"364SA2200X","primary_taxonomy_description":"Adult Health Clinical Nurse Specialist","slug":"adult-health-clinical-nurse-specialist","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"OH","license":"RN260615"},{"code":"364SA2200X","description":"Adult Health Clinical Nurse Specialist","primary":true,"state":"OH","license":"11935-NP"}]},"addresses":[{"purpose":"LOCATION","street_1":"5300 FAR HILLS AVE","city":"DAYTON","state":"OH","postal_code":"454292381","country_code":"US","phone":"9374337536","fax":"9374339612"},{"purpose":"MAILING","street_1":"1016 PAXON DR","city":"BELLBROOK","state":"OH","postal_code":"453058948","country_code":"US","phone":"9379380136"}],"license":{"state":"OH","number":"11935-NP"},"identifiers":[{"type_code":"01","label":"Other","value":"9328817","state":"OH","issuer":"AETNA"},{"type_code":"05","label":"Medicaid","value":"0058747","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"421534506186","state":"OH","issuer":"CARESOURCE OHIO"},{"type_code":"01","label":"Other","value":"000000745200","state":"OH","issuer":"ANTHEM BCBS OH"},{"type_code":"01","label":"Other","value":"P01005063","state":"OH","issuer":"RR MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101213000323","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"OH","pac_id":"7810184165"}]},"enumeration_date":"2010-10-13","last_updated":"2016-08-03","_meta":{"source":"NPPES","snapshot_date":"2016-08-03","doc_url":"https://findmynpi.com/api"}}