{"npi":"1730400482","type":"NPI-1","status":"active","name":{"display":"Alicia Portuondo-Smith Nurse Practitioner","other":[],"first":"ALICIA","last":"PORTUONDO-SMITH","middle":"TAMARA","credential":"NURSE PRACTITIONER"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"NY","license":"590004"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"NY","license":"F402195-1"}]},"addresses":[{"purpose":"LOCATION","street_1":"189 WHEATLEY RD","city":"GLEN HEAD","state":"NY","postal_code":"115452641","country_code":"US","phone":"5166864400"},{"purpose":"MAILING","street_1":"189 WHEATLEY RD","city":"GLEN HEAD","state":"NY","postal_code":"115452641","country_code":"US","phone":"5166864400"}],"license":{"state":"NY","number":"F402195-1"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180327000824","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NY","pac_id":"3971865288"}]},"enumeration_date":"2010-06-17","last_updated":"2018-12-19","_meta":{"source":"NPPES","snapshot_date":"2018-12-19","doc_url":"https://findmynpi.com/api"}}