{"npi":"1659830107","type":"NPI-1","status":"active","name":{"display":"Nicole Williams","other":[],"first":"NICOLE","last":"WILLIAMS"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"TN","license":"0000186093"},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"TN","license":"28387"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"TN","license":"28387"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"FL","license":"ARPN11013769"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"FL","license":"APRN11013769"}]},"addresses":[{"purpose":"LOCATION","street_1":"1220 WILLIS AVE","city":"DAYTONA BEACH","state":"FL","postal_code":"321142810","country_code":"US","phone":"8005394228"},{"purpose":"MAILING","street_1":"150 MAGNOLIA AVE","city":"DAYTONA BEACH","state":"FL","postal_code":"321144304","country_code":"US","phone":"3862363215","fax":"3862363178"}],"license":{"state":"FL","number":"APRN11013769"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220204000859","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"FL","pac_id":"5799195541"}]},"enumeration_date":"2019-03-14","last_updated":"2024-10-28","_meta":{"source":"NPPES","snapshot_date":"2024-10-28","doc_url":"https://findmynpi.com/api"}}