{"npi":"1770538811","type":"NPI-1","status":"active","name":{"display":"Deo Peppersack NP","other":[],"first":"DEO","last":"PEPPERSACK","middle":"M","credential":"NP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"ID","license":"NP656A"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"ID","license":"NP656A"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"ID","license":"NP656A"}]},"addresses":[{"purpose":"LOCATION","street_1":"217 W GEORGIA AVE STE 120","city":"NAMPA","state":"ID","postal_code":"836866812","country_code":"US","phone":"2084981760","fax":"2084981761"},{"purpose":"MAILING","street_1":"217 W. GEORGIA AVE. STE 120","city":"NAMPA","state":"ID","postal_code":"836862856","country_code":"US","phone":"2084981760","fax":"2084981769"}],"license":{"state":"ID","number":"NP656A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8083269","state":"ID","issuer":null},{"type_code":"05","label":"Medicaid","value":"806976700","state":"ID","issuer":null},{"type_code":"01","label":"Other","value":"NP191","state":"ID","issuer":"BLUE CROSS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041021000818","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"ID","pac_id":"1850352915"}]},"enumeration_date":"2006-05-24","last_updated":"2016-03-18","_meta":{"source":"NPPES","snapshot_date":"2016-03-18","doc_url":"https://findmynpi.com/api"}}