{"npi":"1306458013","type":"NPI-1","status":"active","name":{"display":"Acacia Newcomb Nnp","other":[],"first":"ACACIA","last":"NEWCOMB","middle":"LOUISE","credential":"NNP"},"specialty":{"primary_taxonomy":"363LN0005X","primary_taxonomy_description":"Critical Care Neonatal Nurse Practitioner","slug":"critical-care-neonatal-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LN0000X","description":"Neonatal Nurse Practitioner","primary":false,"state":"IL","license":"209.030933"},{"code":"363LN0005X","description":"Critical Care Neonatal Nurse Practitioner","primary":true,"state":"WI","license":"1024933"}]},"addresses":[{"purpose":"LOCATION","street_1":"9000 W WISCONSIN AVE","city":"MILWAUKEE","state":"WI","postal_code":"532264874","country_code":"US","phone":"4142666820","fax":"4142666979"},{"purpose":"MAILING","street_1":"18604 W GEIER RD","city":"GURNEE","state":"IL","postal_code":"600311365","country_code":"US","phone":"8473455137"}],"license":{"state":"WI","number":"1024933"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1306458013","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20201218000752","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"WI","pac_id":"2567874381"},{"enrlmt_id":"I20250107002634","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"IL","pac_id":"2567874381"}]},"enumeration_date":"2020-08-24","last_updated":"2025-01-31","_meta":{"source":"NPPES","snapshot_date":"2025-01-31","doc_url":"https://findmynpi.com/api"}}