{"npi":"1669941027","type":"NPI-1","status":"active","name":{"display":"Walettra Enoch NP","other":[],"first":"WALETTRA","last":"ENOCH","middle":"CHARMESE","credential":"NP"},"specialty":{"primary_taxonomy":"363LP2300X","primary_taxonomy_description":"Primary Care Nurse Practitioner","slug":"primary-care-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP2300X","description":"Primary Care Nurse Practitioner","primary":false,"state":"DE","license":"LP0010478"},{"code":"363LP2300X","description":"Primary Care Nurse Practitioner","primary":false,"state":"NY","license":"310872"},{"code":"363LP2300X","description":"Primary Care Nurse Practitioner","primary":true,"state":"PA","license":"SP019360"}]},"addresses":[{"purpose":"LOCATION","street_1":"156 WILLIAM ST RM 303","city":"NEW YORK","state":"NY","postal_code":"100385307","country_code":"US","phone":"8888033370"},{"purpose":"MAILING","street_1":"7507 SOCIETY DR","city":"CLAYMONT","state":"DE","postal_code":"197031775","country_code":"US","phone":"2153977104"}],"license":{"state":"PA","number":"SP019360"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1912199415","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20191205000197","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"PA","pac_id":"2365875341"},{"enrlmt_id":"I20220928002766","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NY","pac_id":"2365875341"},{"enrlmt_id":"I20231019002911","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CT","pac_id":"2365875341"},{"enrlmt_id":"I20240528000073","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"DE","pac_id":"2365875341"},{"enrlmt_id":"I20241207000010","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NJ","pac_id":"2365875341"},{"enrlmt_id":"I20251010001516","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"GA","pac_id":"2365875341"}]},"enumeration_date":"2018-11-15","last_updated":"2024-10-21","_meta":{"source":"NPPES","snapshot_date":"2024-10-21","doc_url":"https://findmynpi.com/api"}}