{"npi":"1750105995","type":"NPI-1","status":"active","name":{"display":"Marc Theodor Pmhnp","other":[],"first":"MARC","last":"THEODOR","middle":"EDDY","credential":"PMHNP"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"FL","license":"APRN11036065"},{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"FL","license":"RN9555670"}]},"addresses":[{"purpose":"LOCATION","street_1":"2338 IMMOKALEE RD # 559","city":"NAPLES","state":"FL","postal_code":"341101445","country_code":"US","phone":"2396100194"},{"purpose":"MAILING","street_1":"2338 IMMOKALEE RD # 559","city":"NAPLES","state":"FL","postal_code":"341101445","country_code":"US","phone":"2396100194","fax":"2392824185"}],"license":{"state":"FL","number":"APRN11036065"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250218001880","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"FL","pac_id":"0840710125"}]},"enumeration_date":"2024-11-13","last_updated":"2026-02-04","_meta":{"source":"NPPES","snapshot_date":"2026-02-04","doc_url":"https://findmynpi.com/api"}}