{"npi":"1700948502","type":"NPI-1","status":"active","name":{"display":"Dr. Jeri Nelson M.D.","other":[],"first":"JERI","last":"NELSON","middle":"A","credential":"M.D."},"specialty":{"primary_taxonomy":"2080A0000X","primary_taxonomy_description":"Adolescent Medicine","slug":"adolescent-medicine","schema_org_specialty":"Pediatric","all":[{"code":"2080A0000X","description":"Adolescent Medicine","primary":true,"state":"WI","license":"21057"}]},"addresses":[{"purpose":"LOCATION","street_1":"1300 SOUTH DR.","city":"WINNEBAGO","state":"WI","postal_code":"549850009","country_code":"US","phone":"9202354910","fax":"9202362931"},{"purpose":"MAILING","street_1":"1300 SOUTH DR.","city":"WINNEBAGO","state":"WI","postal_code":"549850009","country_code":"US","phone":"9202354910","fax":"9202362931"}],"license":{"state":"WI","number":"21057"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"30114800","state":"WI","issuer":null},{"type_code":"01","label":"Other","value":"21057","state":"WI","issuer":"LICENSE NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-12-15","last_updated":"2023-03-07","_meta":{"source":"NPPES","snapshot_date":"2023-03-07","doc_url":"https://findmynpi.com/api"}}