{"npi":"1720073455","type":"NPI-1","status":"active","name":{"display":"Joan Wildenhain NP","other":[],"first":"JOAN","last":"WILDENHAIN","middle":"T","credential":"NP"},"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":"MA","license":"RN225095"}]},"addresses":[{"purpose":"LOCATION","street_1":"479 SWANSEA MALL DR","city":"SWANSEA","state":"MA","postal_code":"027774119","country_code":"US","phone":"5089731550","fax":"5089730386"},{"purpose":"MAILING","street_1":"200 MILL RD","city":"FAIRHAVEN","state":"MA","postal_code":"027195252","country_code":"US","street_2":"SUITE 180","phone":"5089732000","fax":"5089732001"}],"license":{"state":"MA","number":"RN225095"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"110105942A","state":"MA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100225000817","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"RI","pac_id":"1658415823"},{"enrlmt_id":"I20151022000230","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MA","pac_id":"1658415823"}]},"enumeration_date":"2005-09-19","last_updated":"2024-09-08","_meta":{"source":"NPPES","snapshot_date":"2024-09-08","doc_url":"https://findmynpi.com/api"}}