{"npi":"1902120082","type":"NPI-1","status":"active","name":{"display":"Rene Johnson Crnp","other":[],"first":"RENE","last":"JOHNSON","credential":"CRNP"},"specialty":{"primary_taxonomy":"363LX0001X","primary_taxonomy_description":"Nurse Practitioner, OB/GYN","slug":"nurse-practitioner-ob-gyn","schema_org_specialty":"Obstetric","all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"MD","license":"R134332"},{"code":"363LX0001X","description":"Nurse Practitioner, OB/GYN","primary":true,"state":"MD","license":"R134332"}]},"addresses":[{"purpose":"LOCATION","street_1":"173 SAINT PATRICKS DR STE 104","city":"WALDORF","state":"MD","postal_code":"206035530","country_code":"US","phone":"8887318994"},{"purpose":"MAILING","street_1":"173 SAINT PATRICKS DR STE 104","city":"WALDORF","state":"MD","postal_code":"206035530","country_code":"US","phone":"8887318994"}],"license":{"state":"MD","number":"R134332"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"058443600","state":"MD","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20121022000059","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"DC","pac_id":"8729238142"}]},"enumeration_date":"2010-03-18","last_updated":"2025-05-07","_meta":{"source":"NPPES","snapshot_date":"2025-05-07","doc_url":"https://findmynpi.com/api"}}