{"npi":"1740557289","type":"NPI-1","status":"active","name":{"display":"Stephanie Johnson Crnp","other":[{"code":"1","type":"Formerly known as","value":"MACTAVISH, STEPHANIE R"}],"first":"STEPHANIE","last":"JOHNSON","middle":"R","credential":"CRNP"},"specialty":{"primary_taxonomy":"363LG0600X","primary_taxonomy_description":"Gerontology Nurse Practitioner","slug":"gerontology-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LA2200X","description":"Adult Health Nurse Practitioner","primary":false,"state":"WA","license":"AP60474118"},{"code":"363LG0600X","description":"Gerontology Nurse Practitioner","primary":true,"state":"WA","license":"AP60474118"}]},"addresses":[{"purpose":"LOCATION","street_1":"8201 164TH AVE NE STE 325","city":"REDMOND","state":"WA","postal_code":"980527615","country_code":"US","phone":"4258185311","fax":"4254341755"},{"purpose":"MAILING","street_1":"8201 164TH AVE NE STE 325","city":"REDMOND","state":"WA","postal_code":"980527615","country_code":"US","phone":"4258185311","fax":"4254341755"}],"license":{"state":"WA","number":"AP60474118"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141217000168","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"WA","pac_id":"4587831094"}]},"enumeration_date":"2011-11-29","last_updated":"2026-06-18","_meta":{"source":"NPPES","snapshot_date":"2026-06-18","doc_url":"https://findmynpi.com/api"}}