{"npi":"1790203370","type":"NPI-1","status":"active","name":{"display":"Kaitlin Mack Cnp","other":[{"code":"1","type":"Formerly known as","value":"CLARK, KAITLIN MARIE"}],"first":"KAITLIN","last":"MACK","middle":"MARIE","credential":"CNP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"OH","license":"APRN.CNP.021460"}]},"addresses":[{"purpose":"LOCATION","street_1":"800 MCCONNELL RD","city":"COLUMBUS","state":"OH","postal_code":"432143463","country_code":"US","phone":"6145665019"},{"purpose":"MAILING","street_1":"3600 S OLD 3C HWY","city":"GALENA","state":"OH","postal_code":"430219518","country_code":"US","phone":"4408645120"}],"license":{"state":"OH","number":"APRN.CNP.021460"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171017002671","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"OH","pac_id":"0042586141"}]},"enumeration_date":"2017-09-05","last_updated":"2017-09-05","_meta":{"source":"NPPES","snapshot_date":"2017-09-05","doc_url":"https://findmynpi.com/api"}}