{"npi":"1215628664","type":"NPI-1","status":"active","name":{"display":"Stacy Osterhoudt Acnpc-Ag,","other":[],"first":"STACY","last":"OSTERHOUDT","middle":"JILL","credential":"ACNPC-AG,"},"specialty":{"primary_taxonomy":"363LC0200X","primary_taxonomy_description":"Critical Care Medicine Nurse Practitioner","slug":"critical-care-medicine-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LA2100X","description":"Acute Care Nurse Practitioner","primary":false,"state":"MA","license":"RN2389809"},{"code":"363LC0200X","description":"Critical Care Medicine Nurse Practitioner","primary":true,"state":"MA","license":"RN2389809"}]},"addresses":[{"purpose":"LOCATION","street_1":"725 ALBANY STREET, SUITE 7B","city":"BOSTON","state":"MA","postal_code":"02118","country_code":"US","street_2":"SHAPIRO BLDG.","phone":"6176388456","fax":"6176388465"},{"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":"RN2389809"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"110204587A","state":"MA","issuer":null},{"type_code":"05","label":"Medicaid","value":"3143868","state":"NH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231109002888","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MA","pac_id":"9931556164"}]},"enumeration_date":"2023-05-17","last_updated":"2024-09-18","_meta":{"source":"NPPES","snapshot_date":"2024-09-18","doc_url":"https://findmynpi.com/api"}}