{"npi":"1811089899","type":"NPI-1","status":"active","name":{"display":"Susen Mccleery-Derrick FNP","other":[{"code":"1","type":"Formerly known as","value":"DERRICK, SUSEN DEANNE"}],"first":"SUSEN","last":"MCCLEERY-DERRICK","middle":"DEANNE","credential":"FNP"},"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":"TX","license":"AP128464"}]},"addresses":[{"purpose":"LOCATION","street_1":"6065 SPORTS VILLAGE RD","city":"FRISCO","state":"TX","postal_code":"750333523","country_code":"US","street_2":"SUITE 600","phone":"2147057390","fax":"2147057393"},{"purpose":"MAILING","street_1":"6065 SPORTS VILLAGE RD","city":"FRISCO","state":"TX","postal_code":"750333523","country_code":"US","street_2":"SUITE 600","phone":"2147057390","fax":"2147057393"}],"license":{"state":"TX","number":"AP128464"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1568073","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150929000219","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TX","pac_id":"3072821891"}]},"enumeration_date":"2006-09-28","last_updated":"2016-08-02","_meta":{"source":"NPPES","snapshot_date":"2016-08-02","doc_url":"https://findmynpi.com/api"}}