{"npi":"1679931414","type":"NPI-1","status":"active","name":{"display":"Ashley Blalock","other":[],"first":"ASHLEY","last":"BLALOCK"},"specialty":{"primary_taxonomy":"363LP2300X","primary_taxonomy_description":"Primary Care Nurse Practitioner","slug":"primary-care-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"TN","license":"21250"},{"code":"363LP2300X","description":"Primary Care Nurse Practitioner","primary":true,"state":"TN","license":"21250"}]},"addresses":[{"purpose":"LOCATION","street_1":"4903 BRUCEVILLE SLAB RD","city":"FRIENDSHIP","state":"TN","postal_code":"380344325","country_code":"US","phone":"7316760393"},{"purpose":"MAILING","street_1":"2373 AUGUSTA ST","city":"DYERSBURG","state":"TN","postal_code":"380248942","country_code":"US"}],"license":{"state":"TN","number":"21250"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1679931414","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160805001392","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TN","pac_id":"6103110606"},{"enrlmt_id":"I20200608001305","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TN","pac_id":"6103110606"}]},"enumeration_date":"2016-02-08","last_updated":"2022-04-15","_meta":{"source":"NPPES","snapshot_date":"2022-04-15","doc_url":"https://findmynpi.com/api"}}