{"npi":"1639645740","type":"NPI-1","status":"active","name":{"display":"Taylor Villwock NP","other":[],"first":"TAYLOR","last":"VILLWOCK","middle":"CATHERINE","credential":"NP"},"specialty":{"primary_taxonomy":"363L00000X","primary_taxonomy_description":"Nurse Practitioner","slug":"nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP2300X","description":"Primary Care Nurse Practitioner","primary":false,"state":"WI","license":"8771-33"},{"code":"363L00000X","description":"Nurse Practitioner","primary":true,"state":"WI","license":"8771"}]},"addresses":[{"purpose":"LOCATION","street_1":"1575 N RIVERCENTER DR","city":"MILWAUKEE","state":"WI","postal_code":"532123978","country_code":"US","phone":"4142838444","fax":"4142745021"},{"purpose":"MAILING","street_1":"PO BOX 735044","city":"CHICAGO","state":"IL","postal_code":"606735044","country_code":"US","phone":"8003262250"}],"license":{"state":"WI","number":"8771"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100082727","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20181113001833","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"WI","pac_id":"3072867902"}]},"enumeration_date":"2018-10-16","last_updated":"2024-10-29","_meta":{"source":"NPPES","snapshot_date":"2024-10-29","doc_url":"https://findmynpi.com/api"}}