{"npi":"1295517464","type":"NPI-1","status":"active","name":{"display":"Katlene Millo-Bayan Pmhnp-Bc","other":[{"code":"1","type":"Formerly known as","value":"MILLO, KATLENE"}],"first":"KATLENE","last":"MILLO-BAYAN","credential":"PMHNP-BC"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"CA","license":"2023088391"}]},"addresses":[{"purpose":"LOCATION","street_1":"39180 LIBERTY ST STE 205","city":"FREMONT","state":"CA","postal_code":"945382586","country_code":"US","phone":"5104512000"},{"purpose":"MAILING","street_1":"39951 FREMONT BLVD APT 324","city":"FREMONT","state":"CA","postal_code":"945382685","country_code":"US","phone":"4086094948"}],"license":{"state":"CA","number":"2023088391"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240715003174","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CA","pac_id":"0143765065"}]},"enumeration_date":"2023-10-20","last_updated":"2024-03-02","_meta":{"source":"NPPES","snapshot_date":"2024-03-02","doc_url":"https://findmynpi.com/api"}}