{"npi":"1700117686","type":"NPI-1","status":"active","name":{"display":"Tina Olson FNP","other":[],"first":"TINA","last":"OLSON","middle":"M","credential":"FNP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"NY","license":"F344921"},{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"NY","license":"619164-1"}]},"addresses":[{"purpose":"LOCATION","street_1":"101 NICOLLS RD","city":"STONY BROOK","state":"NY","postal_code":"117940001","country_code":"US","phone":"6314444680"},{"purpose":"MAILING","street_1":"61 PIEDMONT DR APT 214B","city":"PORT JEFFERSON STATION","state":"NY","postal_code":"117761127","country_code":"US","phone":"6317453339"}],"license":{"state":"NY","number":"F344921"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"619164-1","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20191010002185","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NY","pac_id":"6608107305"}]},"enumeration_date":"2010-01-16","last_updated":"2022-04-20","_meta":{"source":"NPPES","snapshot_date":"2022-04-20","doc_url":"https://findmynpi.com/api"}}