{"npi":"1801897418","type":"NPI-1","status":"active","name":{"display":"Andrea Moran APRN","other":[],"first":"ANDREA","last":"MORAN","credential":"APRN"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"CT","license":"002999"}]},"addresses":[{"purpose":"LOCATION","street_1":"263 FARMINGTON AVE","city":"FARMINGTON","state":"CT","postal_code":"060302875","country_code":"US","street_2":"CANCER CENTER","phone":"8606792100","fax":"8606794815"},{"purpose":"MAILING","street_1":"88 MOUNTAIN RD","city":"WOODBURY","state":"CT","postal_code":"067983421","country_code":"US","phone":"2032637354","fax":"2032637354"}],"license":{"state":"CT","number":"002999"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1801897418","state":"CT","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040216000931","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CT","pac_id":"0042105462"}]},"enumeration_date":"2005-08-04","last_updated":"2022-09-29","_meta":{"source":"NPPES","snapshot_date":"2022-09-29","doc_url":"https://findmynpi.com/api"}}