{"npi":"1720164320","type":"NPI-1","status":"active","name":{"display":"Ms. Susan Ouellette APRN","other":[],"first":"SUSAN","last":"OUELLETTE","credential":"APRN"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"MN","license":"00000"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"CT","license":"003720"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"MD","license":"R117618"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"TN","license":"36255"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"MA","license":"0386509"}]},"addresses":[{"purpose":"LOCATION","street_1":"2124 RAMONA LN","city":"WOODSTOCK","state":"MD","postal_code":"211631248","country_code":"US","phone":"4102369951"},{"purpose":"MAILING","street_1":"2124 RAMONA LN","city":"WOODSTOCK","state":"MD","postal_code":"211631248","country_code":"US","phone":"4102369951"}],"license":{"state":"MA","number":"0386509"},"identifiers":[{"type_code":"01","label":"Other","value":"61087301-PR31","state":"MD","issuer":"CAREFIRST"},{"type_code":"05","label":"Medicaid","value":"772103000","state":"MD","issuer":null},{"type_code":"01","label":"Other","value":"M644-0001","state":"MD","issuer":"BLUE CROSS/BLUE SHIELD"},{"type_code":"01","label":"Other","value":"537442000","state":"MD","issuer":"MAGELLAN"},{"type_code":"01","label":"Other","value":"015LM670","state":"MD","issuer":"MEDICARE NUMBER URBAN BEHAVIORAL ASSOCIATES"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20051102000358","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MD","pac_id":"4880611458"},{"enrlmt_id":"I20081209000740","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CT","pac_id":"4880611458"},{"enrlmt_id":"I20130501000216","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"DC","pac_id":"4880611458"},{"enrlmt_id":"I20210420000727","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MA","pac_id":"4880611458"},{"enrlmt_id":"I20220825003219","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"WA","pac_id":"4880611458"},{"enrlmt_id":"I20240603000929","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TN","pac_id":"4880611458"}]},"enumeration_date":"2006-10-27","last_updated":"2024-05-21","_meta":{"source":"NPPES","snapshot_date":"2024-05-21","doc_url":"https://findmynpi.com/api"}}