{"npi":"1083243687","type":"NPI-1","status":"active","name":{"display":"Taylor Gatlin","other":[],"first":"TAYLOR","last":"GATLIN","middle":"L"},"specialty":{"primary_taxonomy":"207L00000X","primary_taxonomy_description":"Anesthesiology","slug":"anesthesiology","schema_org_specialty":"Anesthesia","all":[{"code":"207L00000X","description":"Anesthesiology","primary":true,"state":"WI","license":"77593"}]},"addresses":[{"purpose":"LOCATION","street_1":"975 PORT WASHINGTON RD","city":"GRAFTON","state":"WI","postal_code":"530249204","country_code":"US","phone":"2623291000","fax":"2623291001"},{"purpose":"MAILING","street_1":"PO BOX 735044","city":"CHICAGO","state":"IL","postal_code":"606735044","country_code":"US","phone":"8003262250"}],"license":{"state":"WI","number":"77593"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100100999","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240614002650","type_code":"14-05","type_desc":"PRACTITIONER - ANESTHESIOLOGY","state":"WI","pac_id":"1759704729"}]},"enumeration_date":"2020-04-06","last_updated":"2024-08-28","_meta":{"source":"NPPES","snapshot_date":"2024-08-28","doc_url":"https://findmynpi.com/api"}}