{"npi":"1639242597","type":"NPI-1","status":"active","name":{"display":"Kristie Koczenasz APRN, Bc","other":[],"first":"KRISTIE","last":"KOCZENASZ","credential":"APRN,BC"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"MI","license":"4704230739"}]},"addresses":[{"purpose":"LOCATION","street_1":"5701 BOW POINTE DR","city":"CLARKSTON","state":"MI","postal_code":"483463198","country_code":"US","street_2":"SUITE 280","phone":"2489226833","fax":"2489226831"},{"purpose":"MAILING","street_1":"5701 BOW POINTE DR","city":"CLARKSTON","state":"MI","postal_code":"483463198","country_code":"US","street_2":"SUITE 280","phone":"2489226833","fax":"2489226831"}],"license":{"state":"MI","number":"4704230739"},"identifiers":[{"type_code":"01","label":"Other","value":"KK230739","state":"MI","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"05","label":"Medicaid","value":"5193349","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"CH3766","state":"MI","issuer":"RAILROAD MEDICARE GROUP"},{"type_code":"05","label":"Medicaid","value":"5193358","state":"MI","issuer":null},{"type_code":"05","label":"Medicaid","value":"5193320","state":"MI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-11-16","last_updated":"2010-08-30","_meta":{"source":"NPPES","snapshot_date":"2010-08-30","doc_url":"https://findmynpi.com/api"}}