{"npi":"1790385136","type":"NPI-1","status":"active","name":{"display":"Amanda-Grace Johnson DNP","other":[],"first":"AMANDA-GRACE","last":"JOHNSON","credential":"DNP"},"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":"NV","license":"816524"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"NV","license":"816524"}]},"addresses":[{"purpose":"LOCATION","street_1":"1297 BOULDER CITY PKWY STE A","city":"BOULDER CITY","state":"NV","postal_code":"890051854","country_code":"US","phone":"7022941919","fax":"7022940072"},{"purpose":"MAILING","street_1":"6355 S BUFFALO DR FL 3","city":"LAS VEGAS","state":"NV","postal_code":"891132133","country_code":"US","phone":"7022163346","fax":"7026716883"}],"license":{"state":"NV","number":"816524"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1790385136","state":"NV","issuer":null},{"type_code":"01","label":"Other","value":"816524","state":"NV","issuer":"STATE LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210805001705","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NV","pac_id":"1658775168"}]},"enumeration_date":"2020-10-26","last_updated":"2022-10-18","_meta":{"source":"NPPES","snapshot_date":"2022-10-18","doc_url":"https://findmynpi.com/api"}}