{"npi":"1821398397","type":"NPI-1","status":"active","name":{"display":"Ms. Wyvon Blackwell MSN, APRN, FNP-C","other":[],"first":"WYVON","last":"BLACKWELL","credential":"MSN, APRN,FNP-C"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"171M00000X","description":"Case Manager/Care Coordinator","primary":false,"state":"IN","license":"28180607A"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"IL","license":"F0214515"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"IL","license":"309007962"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"IL","license":"209011447"}]},"addresses":[{"purpose":"LOCATION","street_1":"31 W 155TH ST","city":"HARVEY","state":"IL","postal_code":"60426","country_code":"US","phone":"7085965177","fax":"7085965518"},{"purpose":"MAILING","street_1":"31 W 155TH ST","city":"HARVEY","state":"IL","postal_code":"604263556","country_code":"US","phone":"7085965177","fax":"7085965518"}],"license":{"state":"IL","number":"209011447"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"209011447","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141124001757","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"IL","pac_id":"8123340403"}]},"enumeration_date":"2010-10-29","last_updated":"2019-11-05","_meta":{"source":"NPPES","snapshot_date":"2019-11-05","doc_url":"https://findmynpi.com/api"}}