{"npi":"1942908488","type":"NPI-2","status":"active","name":{"display":"Foster Wellness, LLC","other":[],"organization_name":"FOSTER WELLNESS, LLC","authorised_official":"Michelle Marko"},"specialty":{"primary_taxonomy":"261QH0100X","primary_taxonomy_description":"Health Service Clinic/Center","slug":"health-service-clinic-center","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"261QH0100X","description":"Health Service Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"10400 BLACKLICK EASTERN RD STE 130","city":"PICKERINGTON","state":"OH","postal_code":"431477702","country_code":"US","phone":"3053678378","fax":"6146398001"},{"purpose":"MAILING","street_1":"10400 BLACKLICK EASTERN RD STE 110","city":"PICKERINGTON","state":"OH","postal_code":"431477702","country_code":"US","phone":"3053678378","fax":"6146398001"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"016320","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"1346762465","state":null,"issuer":"NPI"},{"type_code":"05","label":"Medicaid","value":"0248012","state":"OH","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2023-02-22","last_updated":"2024-01-17","_meta":{"source":"NPPES","snapshot_date":"2024-01-17","doc_url":"https://findmynpi.com/api"}}