{"npi":"1851630834","type":"NPI-1","status":"active","name":{"display":"Suzette Bornemann Apnp","other":[{"code":"1","type":"Formerly known as","value":"KITTELSON, SUZETTE M"}],"first":"SUZETTE","last":"BORNEMANN","middle":"M","credential":"APNP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LC0200X","description":"Critical Care Medicine Nurse Practitioner","primary":false,"state":"WI","license":"5219-33"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"WI","license":"5219-33"}]},"addresses":[{"purpose":"LOCATION","street_1":"218 S HWY 141","city":"CRIVITZ","state":"WI","postal_code":"541141677","country_code":"US","phone":"7158547477","fax":"7158547785"},{"purpose":"MAILING","street_1":"PO BOX 1866","city":"GREEN BAY","state":"WI","postal_code":"543051866","country_code":"US","phone":"9204457210"}],"license":{"state":"WI","number":"5219-33"},"identifiers":[{"type_code":"01","label":"Other","value":"2012012365","state":null,"issuer":"AMERICAN NURSES CREDENTIALING CENTER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130502000077","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"WI","pac_id":"2668619065"}]},"enumeration_date":"2013-02-11","last_updated":"2022-12-07","_meta":{"source":"NPPES","snapshot_date":"2022-12-07","doc_url":"https://findmynpi.com/api"}}