{"npi":"1114962230","type":"NPI-1","status":"active","name":{"display":"Keli Wollmer P.A.","other":[{"code":"1","type":"Formerly known as","value":"WIRTH, KELI R"}],"first":"KELI","last":"WOLLMER","middle":"R","credential":"P.A."},"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":"814-023"}]},"addresses":[{"purpose":"LOCATION","street_1":"545 N 15TH ST","city":"MILWAUKEE","state":"WI","postal_code":"532332237","country_code":"US","phone":"4142887184","fax":"4142885681"},{"purpose":"MAILING","street_1":"545 N 15TH ST","city":"MILWAUKEE","state":"WI","postal_code":"532332237","country_code":"US","phone":"4142887184","fax":"4142885681"}],"license":{"state":"WI","number":"814-023"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"42966500","state":"WI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-20","last_updated":"2007-08-13","_meta":{"source":"NPPES","snapshot_date":"2007-08-13","doc_url":"https://findmynpi.com/api"}}