{"npi":"1700565876","type":"NPI-1","status":"active","name":{"display":"Amanda Wyatt Pmhnp","other":[],"first":"AMANDA","last":"WYATT","middle":"RANAE","credential":"PMHNP"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"LA","license":"243030"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"TN","license":"34282"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"NC","license":"5023481"}]},"addresses":[{"purpose":"LOCATION","street_1":"441 E BROAD ST STE E","city":"COOKEVILLE","state":"TN","postal_code":"385013390","country_code":"US","phone":"9315109231","fax":"2078105946"},{"purpose":"MAILING","street_1":"440 PARADISE LN","city":"CROSSVILLE","state":"TN","postal_code":"385722105","country_code":"US","phone":"9315108405"}],"license":{"state":"TN","number":"34282"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231116001093","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TN","pac_id":"4284081076"},{"enrlmt_id":"I20251021000295","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"LA","pac_id":"4284081076"},{"enrlmt_id":"I20260107000641","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NC","pac_id":"4284081076"}]},"enumeration_date":"2023-07-14","last_updated":"2025-12-12","_meta":{"source":"NPPES","snapshot_date":"2025-12-12","doc_url":"https://findmynpi.com/api"}}