{"npi":"1912901521","type":"NPI-1","status":"active","name":{"display":"Sandra Newsom FNP","other":[],"first":"SANDRA","last":"NEWSOM","credential":"FNP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"MS","license":"R852706"}]},"addresses":[{"purpose":"LOCATION","street_1":"2906 GOODMAN RD W","city":"HORN LAKE","state":"MS","postal_code":"386371291","country_code":"US","street_2":"SUITE 109","phone":"6623938022","fax":"6623938052"},{"purpose":"MAILING","street_1":"3400 GOODMAN RD W","city":"HORN LAKE","state":"MS","postal_code":"386371174","country_code":"US","phone":"6623938022"}],"license":{"state":"MS","number":"R852706"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00117535","state":"MS","issuer":null},{"type_code":"01","label":"Other","value":"512I500595","state":"MS","issuer":"MEDICARE PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090127000439","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MS","pac_id":"7618037458"}]},"enumeration_date":"2005-06-10","last_updated":"2019-09-11","_meta":{"source":"NPPES","snapshot_date":"2019-09-11","doc_url":"https://findmynpi.com/api"}}