{"npi":"1730833112","type":"NPI-1","status":"active","name":{"display":"Andrea Kevresian FNP-C","other":[{"code":"1","type":"Formerly known as","value":"TALLEY, ANDREA LYNN"}],"first":"ANDREA","last":"KEVRESIAN","middle":"LYNN","credential":"FNP-C"},"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":"KS","license":"53-80725-101"}]},"addresses":[{"purpose":"LOCATION","street_1":"1901 W KANSAS ST","city":"LIBERTY","state":"MO","postal_code":"640682060","country_code":"US","phone":"8167810035"},{"purpose":"MAILING","street_1":"1901 W KANSAS ST","city":"LIBERTY","state":"MO","postal_code":"640682060","country_code":"US","phone":"8167810035"}],"license":{"state":"KS","number":"53-80725-101"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220309003165","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"KS","pac_id":"1456745421"}]},"enumeration_date":"2022-02-04","last_updated":"2022-02-04","_meta":{"source":"NPPES","snapshot_date":"2022-02-04","doc_url":"https://findmynpi.com/api"}}