{"npi":"1972804656","type":"NPI-1","status":"active","name":{"display":"Sandra Nicks RN, Acnp-Bc","other":[],"first":"SANDRA","last":"NICKS","middle":"RUTH","credential":"RN, ACNP-BC"},"specialty":{"primary_taxonomy":"363LA2100X","primary_taxonomy_description":"Acute Care Nurse Practitioner","slug":"acute-care-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LA2100X","description":"Acute Care Nurse Practitioner","primary":true,"state":"MO","license":"2010012202"}]},"addresses":[{"purpose":"LOCATION","street_1":"901 PATIENTS FIRST DR","city":"WASHINGTON","state":"MO","postal_code":"630904700","country_code":"US","phone":"6363901600"},{"purpose":"MAILING","street_1":"901 PATIENTS FIRST DR","city":"WASHINGTON","state":"MO","postal_code":"630904700","country_code":"US","phone":"6363901600"}],"license":{"state":"MO","number":"2010012202"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110118000394","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MO","pac_id":"1850580150"}]},"enumeration_date":"2010-11-11","last_updated":"2010-11-11","_meta":{"source":"NPPES","snapshot_date":"2010-11-11","doc_url":"https://findmynpi.com/api"}}