{"npi":"1720668650","type":"NPI-1","status":"active","name":{"display":"Kelsey Heneberry","other":[],"first":"KELSEY","last":"HENEBERRY"},"specialty":{"primary_taxonomy":"363LG0600X","primary_taxonomy_description":"Gerontology Nurse Practitioner","slug":"gerontology-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"OH","license":"APRN.CNP.0028167"},{"code":"363LA2100X","description":"Acute Care Nurse Practitioner","primary":false,"state":"IL","license":"209021951"},{"code":"363LG0600X","description":"Gerontology Nurse Practitioner","primary":true,"state":"OH","license":"APRN.CNP.0028167"},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"IL","license":"209021951"}]},"addresses":[{"purpose":"LOCATION","street_1":"2222 CHERRY ST STE 1250","city":"TOLEDO","state":"OH","postal_code":"436082687","country_code":"US","phone":"4192513180","fax":"4192513849"},{"purpose":"MAILING","street_1":"2222 CHERRY ST STE 1250","city":"TOLEDO","state":"OH","postal_code":"436082687","country_code":"US"}],"license":{"state":"OH","number":"APRN.CNP.0028167"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20221118001298","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"OH","pac_id":"7911308614"}]},"enumeration_date":"2021-04-13","last_updated":"2024-10-12","_meta":{"source":"NPPES","snapshot_date":"2024-10-12","doc_url":"https://findmynpi.com/api"}}