{"npi":"1740677210","type":"NPI-1","status":"active","name":{"display":"Shannette Ailes NP-C","other":[],"first":"SHANNETTE","last":"AILES","middle":"M","credential":"NP-C"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"IN","license":"71005432A"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"IN","license":"71005432A"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"FL","license":"APRN11012677"}]},"addresses":[{"purpose":"LOCATION","street_1":"725 N 12TH AVE BLDG B","city":"ARCADIA","state":"FL","postal_code":"342668752","country_code":"US","phone":"8634941242"},{"purpose":"MAILING","street_1":"700 8TH AVE W STE 101","city":"PALMETTO","state":"FL","postal_code":"342214737","country_code":"US","phone":"9417764000","fax":"9418454963"}],"license":{"state":"FL","number":"APRN11012677"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"201286480","state":"IN","issuer":null},{"type_code":"01","label":"Other","value":"000000938346","state":"IN","issuer":"ANTHEM (REID PHYSICIAN ASSOCIATES, INC.)"},{"type_code":"05","label":"Medicaid","value":"0128143","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220519002525","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NC","pac_id":"0042530958"}]},"enumeration_date":"2015-04-22","last_updated":"2021-05-20","_meta":{"source":"NPPES","snapshot_date":"2021-05-20","doc_url":"https://findmynpi.com/api"}}