{"npi":"1982126595","type":"NPI-1","status":"active","name":{"display":"Carissa Martinez FNP","other":[{"code":"1","type":"Formerly known as","value":"LOPEZ, CARISSA REANNA"}],"first":"CARISSA","last":"MARTINEZ","middle":"REANNA","credential":"FNP"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"CO","license":"0200426"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"CO","license":"APN.0993330-NP"},{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"CO","license":"0993330-NP"}]},"addresses":[{"purpose":"LOCATION","street_1":"4800 BASELINE RD STE D106","city":"BOULDER","state":"CO","postal_code":"803032643","country_code":"US","phone":"3034994800"},{"purpose":"MAILING","street_1":"4800 BASELINE RD STE D106","city":"BOULDER","state":"CO","postal_code":"803032643","country_code":"US","phone":"3034994800"}],"license":{"state":"CO","number":"0993330-NP"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170926001494","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CO","pac_id":"4981978277"}]},"enumeration_date":"2017-07-14","last_updated":"2023-06-16","_meta":{"source":"NPPES","snapshot_date":"2023-06-16","doc_url":"https://findmynpi.com/api"}}