{"npi":"1053982017","type":"NPI-1","status":"active","name":{"display":"Katelyn Taylor","other":[],"first":"KATELYN","last":"TAYLOR"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"WI","license":"5482-23"}]},"addresses":[{"purpose":"LOCATION","street_1":"3059 VOYAGER DR","city":"GREEN BAY","state":"WI","postal_code":"543118303","country_code":"US","phone":"9209650345"},{"purpose":"MAILING","street_1":"3059 VOYAGER DR","city":"GREEN BAY","state":"WI","postal_code":"543118303","country_code":"US"}],"license":{"state":"WI","number":"5482-23"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210928000611","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WI","pac_id":"0840697298"},{"enrlmt_id":"I20211005001593","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MI","pac_id":"0840697298"}]},"enumeration_date":"2021-07-09","last_updated":"2023-02-20","_meta":{"source":"NPPES","snapshot_date":"2023-02-20","doc_url":"https://findmynpi.com/api"}}