{"npi":"1669957791","type":"NPI-1","status":"active","name":{"display":"Krista Simmons LCSW","other":[],"first":"KRISTA","last":"SIMMONS","credential":"LCSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":"VA","license":"0904009627"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":"TN","license":"6656"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"FL","license":"SW15407"}]},"addresses":[{"purpose":"LOCATION","street_1":"1992 LEWIS TURNER BLVD STE 1067","city":"FORT WALTON BEACH","state":"FL","postal_code":"325471255","country_code":"US","phone":"5403533280"},{"purpose":"MAILING","street_1":"1992 LEWIS TURNER BLVD STE 1067","city":"FORT WALTON BEACH","state":"FL","postal_code":"325471255","country_code":"US"}],"license":{"state":"FL","number":"SW15407"},"identifiers":[{"type_code":"01","label":"Other","value":"6656","state":"TN","issuer":"LCSW"},{"type_code":"01","label":"Other","value":"SW15407","state":"FL","issuer":"LCSW"},{"type_code":"01","label":"Other","value":"0904009627","state":"VA","issuer":"LCSW"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2018-09-25","last_updated":"2024-10-24","_meta":{"source":"NPPES","snapshot_date":"2024-10-24","doc_url":"https://findmynpi.com/api"}}