{"npi":"1902583917","type":"NPI-1","status":"active","name":{"display":"Ashley Samaniego Pmhnp-Bc","other":[{"code":"1","type":"Formerly known as","value":"MITCHAM, ASHLEY"}],"first":"ASHLEY","last":"SAMANIEGO","credential":"PMHNP-BC"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"TN","license":"36562"},{"code":"163WP0808X","description":"Psychiatric/Mental Health Registered Nurse","primary":false,"state":"TN","license":"180297"}]},"addresses":[{"purpose":"LOCATION","street_1":"2204 PAVILION DR STE 107","city":"KINGSPORT","state":"TN","postal_code":"376604651","country_code":"US","phone":"4233431442","fax":"4237223009"},{"purpose":"MAILING","street_1":"1021 W OAKLAND AVE STE 310","city":"JOHNSON CITY","state":"TN","postal_code":"376042192","country_code":"US","phone":"4239522111"}],"license":{"state":"TN","number":"36562"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241023002786","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TN","pac_id":"3173056652"}]},"enumeration_date":"2023-06-30","last_updated":"2026-01-05","_meta":{"source":"NPPES","snapshot_date":"2026-01-05","doc_url":"https://findmynpi.com/api"}}