{"npi":"1104440908","type":"NPI-1","status":"active","name":{"display":"Joelle Sulistio FNP","other":[{"code":"1","type":"Formerly known as","value":"SULISTIO, JOELLE"}],"first":"JOELLE","last":"SULISTIO","middle":"GRACE","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":"MA","license":"RN2330392"}]},"addresses":[{"purpose":"LOCATION","street_1":"732 HARRISON AVE, FL 2","city":"BOSTON","state":"MA","postal_code":"021182309","country_code":"US","street_2":"PRESTON BLDG","phone":"6176387470","fax":"6176387449"},{"purpose":"MAILING","street_1":"960 MASSACHUSETTS AVENUE","city":"BOSTON","state":"MA","postal_code":"021182690","country_code":"US","street_2":"FL 2"}],"license":{"state":"MA","number":"RN2330392"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"110164332A","state":"MA","issuer":null},{"type_code":"05","label":"Medicaid","value":"3136892","state":"NH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20201001000588","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MA","pac_id":"9436578036"}]},"enumeration_date":"2020-06-08","last_updated":"2024-04-10","_meta":{"source":"NPPES","snapshot_date":"2024-04-10","doc_url":"https://findmynpi.com/api"}}