{"npi":"1265612998","type":"NPI-1","status":"active","name":{"display":"Ms. Laurie Walter M.S. Ccc-Slp","other":[{"code":"1","type":"Formerly known as","value":"MATTESON, LAURIE"}],"first":"LAURIE","last":"WALTER","middle":"RENEE","credential":"M.S. CCC-SLP"},"specialty":{"primary_taxonomy":"235Z00000X","primary_taxonomy_description":"Speech-Language Pathology","slug":"speech-language-pathology","schema_org_specialty":"Speech","all":[{"code":"235Z00000X","description":"Speech-Language Pathology","primary":true,"state":"WI","license":"2621-154"}]},"addresses":[{"purpose":"LOCATION","street_1":"2817 NEW PINERY RD STE 103","city":"PORTAGE","state":"WI","postal_code":"539019257","country_code":"US","phone":"6087456290","fax":"6087456250"},{"purpose":"MAILING","street_1":"2817 NEW PINERY RD STE 103","city":"PORTAGE","state":"WI","postal_code":"539019257","country_code":"US","phone":"6087456290","fax":"6087456250"}],"license":{"state":"WI","number":"2621-154"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"42576100","state":"WI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-11-09","last_updated":"2017-04-03","_meta":{"source":"NPPES","snapshot_date":"2017-04-03","doc_url":"https://findmynpi.com/api"}}