{"npi":"1760710693","type":"NPI-1","status":"active","name":{"display":"Mrs. Angela Derouin Ms, Ccc-Slp","other":[{"code":"1","type":"Formerly known as","value":"SAWALL, ANGELA RAE"}],"first":"ANGELA","last":"DEROUIN","middle":"RAE","credential":"MS, CCC-SLP"},"specialty":{"primary_taxonomy":"235Z00000X","primary_taxonomy_description":"Speech-Language Pathology","slug":"speech-language-pathology","schema_org_specialty":"Speech","all":[{"code":"235Z00000X","description":"Speech-Language Pathology","primary":true,"state":null,"license":"3231-154"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 N PATRICK BLVD STE 250","city":"BROOKFIELD","state":"WI","postal_code":"530455883","country_code":"US","phone":"2622551180","fax":"2622551638"},{"purpose":"MAILING","street_1":"200 N PATRICK BLVD STE 250","city":"BROOKFIELD","state":"WI","postal_code":"530455883","country_code":"US","phone":"8887540398"}],"license":{"state":null,"number":"3231-154"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100007790","state":"WI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2009-12-04","last_updated":"2023-09-25","_meta":{"source":"NPPES","snapshot_date":"2023-09-25","doc_url":"https://findmynpi.com/api"}}