{"npi":"1295021079","type":"NPI-1","status":"active","name":{"display":"Dr. Katrina Destree M.D.","other":[{"code":"1","type":"Formerly known as","value":"GUCKENBERG, KATRINA LYNN"}],"first":"KATRINA","last":"DESTREE","middle":"LYNN","credential":"M.D."},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"WI","license":"735-00"},{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"VA","license":"0101252351"}]},"addresses":[{"purpose":"LOCATION","street_1":"2845 GREENBRIER RD","city":"GREEN BAY","state":"WI","postal_code":"543116519","country_code":"US","phone":"9202884060","fax":"9202884067"},{"purpose":"MAILING","street_1":"1035 KEPLER DR","city":"GREEN BAY","state":"WI","postal_code":"543118320","country_code":"US","phone":"9204909046","fax":"9204058005"}],"license":{"state":"WI","number":"735-00"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200813001771","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"WI","pac_id":"9032400072"}]},"enumeration_date":"2011-06-21","last_updated":"2026-04-21","_meta":{"source":"NPPES","snapshot_date":"2026-04-21","doc_url":"https://findmynpi.com/api"}}