{"npi":"1669869061","type":"NPI-1","status":"active","name":{"display":"Bianca Shubert","other":[{"code":"1","type":"Formerly known as","value":"WHITTEN, BIANCA MARIE"}],"first":"BIANCA","last":"SHUBERT","middle":"M"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"TN","license":"MD0000057436"},{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"WI","license":"72247"}]},"addresses":[{"purpose":"LOCATION","street_1":"945 N 12TH ST","city":"MILWAUKEE","state":"WI","postal_code":"532331305","country_code":"US","phone":"4142192000","fax":"4142196650"},{"purpose":"MAILING","street_1":"PO BOX 735044","city":"CHICAGO","state":"IL","postal_code":"606735044","country_code":"US","phone":"4142192000","fax":"4142196650"}],"license":{"state":"WI","number":"72247"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100096514","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190826001091","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"GA","pac_id":"6002116480"},{"enrlmt_id":"I20200130001633","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"WI","pac_id":"6002116480"}]},"enumeration_date":"2015-04-23","last_updated":"2023-10-10","_meta":{"source":"NPPES","snapshot_date":"2023-10-10","doc_url":"https://findmynpi.com/api"}}