{"npi":"1497937957","type":"NPI-1","status":"active","name":{"display":"Mrs. Kelly Orysen Ms Ccc- Slp","other":[{"code":"1","type":"Formerly known as","value":"HAYLETT, KELLY MARIE"}],"first":"KELLY","last":"ORYSEN","middle":"MARIE","credential":"MS 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":"2961154"}]},"addresses":[{"purpose":"LOCATION","street_1":"103 S GIBSON ST","city":"MEDFORD","state":"WI","postal_code":"544511622","country_code":"US","phone":"7157488112","fax":"7157488792"},{"purpose":"MAILING","street_1":"103 S GIBSON ST","city":"MEDFORD","state":"WI","postal_code":"544511622","country_code":"US","phone":"7157488112","fax":"7157488792"}],"license":{"state":"WI","number":"2961154"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"42586500","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150416000547","type_code":"14-15","type_desc":"PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST","state":"WI","pac_id":"1456679794"}]},"enumeration_date":"2007-11-27","last_updated":"2009-07-07","_meta":{"source":"NPPES","snapshot_date":"2009-07-07","doc_url":"https://findmynpi.com/api"}}