{"npi":"1487304929","type":"NPI-1","status":"active","name":{"display":"Sarah Wagner MD","other":[],"first":"SARAH","last":"WAGNER","middle":"JEANNE","credential":"MD"},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":true,"state":"WI","license":"82760-20"}]},"addresses":[{"purpose":"LOCATION","street_1":"9200 W WISCONSIN AVE","city":"MILWAUKEE","state":"WI","postal_code":"532263522","country_code":"US","phone":"4149554578"},{"purpose":"MAILING","street_1":"9200 W WISCONSIN AVE","city":"MILWAUKEE","state":"WI","postal_code":"532263522","country_code":"US","phone":"4148056600","fax":"4148056622"}],"license":{"state":"WI","number":"82760-20"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1487304929","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250623003531","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"WI","pac_id":"8628446218"}]},"enumeration_date":"2022-03-27","last_updated":"2025-07-15","_meta":{"source":"NPPES","snapshot_date":"2025-07-15","doc_url":"https://findmynpi.com/api"}}