{"npi":"1609600600","type":"NPI-1","status":"active","name":{"display":"Samuel Fullmer","other":[],"first":"SAMUEL","last":"FULLMER","middle":"AARON"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"NY","license":"355097"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"CA","license":"NP95034962"}]},"addresses":[{"purpose":"LOCATION","street_1":"2950 INTERNATIONAL BLVD","city":"OAKLAND","state":"CA","postal_code":"946012228","country_code":"US","phone":"5105354400"},{"purpose":"MAILING","street_1":"2950 INTERNATIONAL BLVD","city":"OAKLAND","state":"CA","postal_code":"946012228","country_code":"US","phone":"5105354400"}],"license":{"state":"CA","number":"NP95034962"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20251121001697","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CA","pac_id":"5395237929"}]},"enumeration_date":"2024-08-30","last_updated":"2025-09-03","_meta":{"source":"NPPES","snapshot_date":"2025-09-03","doc_url":"https://findmynpi.com/api"}}