{"npi":"1104920107","type":"NPI-1","status":"active","name":{"display":"Laura Oldenburg PA","other":[],"first":"LAURA","last":"OLDENBURG","middle":"S","credential":"PA"},"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":"1747023"}]},"addresses":[{"purpose":"LOCATION","street_1":"3077 N MAYFAIR RD STE 305","city":"WAUWATOSA","state":"WI","postal_code":"532224305","country_code":"US","phone":"4143846700","fax":"4147271058"},{"purpose":"MAILING","street_1":"3077 N MAYFAIR RD STE 305","city":"WAUWATOSA","state":"WI","postal_code":"532224305","country_code":"US","phone":"4143846700","fax":"4147271058"}],"license":{"state":"WI","number":"1747023"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"42879000","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20051222000427","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WI","pac_id":"0648292391"}]},"enumeration_date":"2006-09-11","last_updated":"2020-03-03","_meta":{"source":"NPPES","snapshot_date":"2020-03-03","doc_url":"https://findmynpi.com/api"}}