{"npi":"1649029331","type":"NPI-1","status":"active","name":{"display":"Nicole Myers NP","other":[{"code":"1","type":"Formerly known as","value":"BILBY, NICOLE P"}],"first":"NICOLE","last":"MYERS","middle":"PATRICE","credential":"NP"},"specialty":{"primary_taxonomy":"363LA2100X","primary_taxonomy_description":"Acute Care Nurse Practitioner","slug":"acute-care-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"IN","license":"28208899A"},{"code":"363LA2100X","description":"Acute Care Nurse Practitioner","primary":true,"state":"IN","license":"71015484A"}]},"addresses":[{"purpose":"LOCATION","street_1":"1520 S LIBERTY DR","city":"BLOOMINGTON","state":"IN","postal_code":"474035167","country_code":"US","phone":"8126764300","fax":"8123398399"},{"purpose":"MAILING","street_1":"250 N SHADELAND AVE","city":"INDIANAPOLIS","state":"IN","postal_code":"462194959","country_code":"US"}],"license":{"state":"IN","number":"71015484A"},"identifiers":[{"type_code":"01","label":"Other","value":"1104449198","state":"IN","issuer":"ANTHEM PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240913001951","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"IN","pac_id":"2668912882"}]},"enumeration_date":"2024-05-15","last_updated":"2024-10-31","_meta":{"source":"NPPES","snapshot_date":"2024-10-31","doc_url":"https://findmynpi.com/api"}}