{"npi":"1780246488","type":"NPI-1","status":"active","name":{"display":"Onetha Davis","other":[],"first":"ONETHA","last":"DAVIS"},"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":"IL","license":"209019568"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"IL","license":"209019568"}]},"addresses":[{"purpose":"LOCATION","street_1":"250 PARKWAY DR STE 150","city":"LINCOLNSHIRE","state":"IL","postal_code":"600694340","country_code":"US","phone":"7082281663"},{"purpose":"MAILING","street_1":"425 SPRINGFIELD ST","city":"PARK FOREST","state":"IL","postal_code":"604661052","country_code":"US","phone":"7082281663"}],"license":{"state":"IL","number":"209019568"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20191106000268","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"IL","pac_id":"8426380767"}]},"enumeration_date":"2019-07-02","last_updated":"2024-08-26","_meta":{"source":"NPPES","snapshot_date":"2024-08-26","doc_url":"https://findmynpi.com/api"}}