{"npi":"1841499258","type":"NPI-1","status":"active","name":{"display":"Scott Wagner Cnor Rnfa","other":[],"first":"SCOTT","last":"WAGNER","middle":"JOHN","credential":"CNOR RNFA"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"163WR0006X","description":"Registered Nurse First Assistant","primary":false,"state":"TX","license":"695886"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"TX","license":"1018610"}]},"addresses":[{"purpose":"LOCATION","street_1":"3322 COLORADO BLVD STE 101","city":"DENTON","state":"TX","postal_code":"762106889","country_code":"US","phone":"9403877588","fax":"9405660881"},{"purpose":"MAILING","street_1":"3322 COLORADO BLVD STE 101","city":"DENTON","state":"TX","postal_code":"762106889","country_code":"US","phone":"9403877588","fax":"9405660881"}],"license":{"state":"TX","number":"1018610"},"identifiers":[{"type_code":"01","label":"Other","value":"695886","state":"TX","issuer":"RN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20201124002919","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TX","pac_id":"4385055235"}]},"enumeration_date":"2007-07-16","last_updated":"2020-11-30","_meta":{"source":"NPPES","snapshot_date":"2020-11-30","doc_url":"https://findmynpi.com/api"}}