{"npi":"1952545972","type":"NPI-1","status":"active","name":{"display":"Katie Queen M.D.","other":[],"first":"KATIE","last":"QUEEN","credential":"M.D."},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":false,"state":"TX","license":"P2419"},{"code":"208000000X","description":"Pediatrics","primary":true,"state":"LA","license":"MD.203961"}]},"addresses":[{"purpose":"LOCATION","street_1":"433 PLAZA ST STE 1A","city":"BOGALUSA","state":"LA","postal_code":"704273729","country_code":"US","phone":"2257306970","fax":"9857306398"},{"purpose":"MAILING","street_1":"5959 S SHERWOOD FOREST BLVD","city":"BATON ROUGE","state":"LA","postal_code":"708166038","country_code":"US","phone":"2257650011","fax":"2257659196"}],"license":{"state":"LA","number":"MD.203961"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1883042","state":"LA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170329001328","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"LA","pac_id":"6507014214"}]},"enumeration_date":"2009-04-21","last_updated":"2021-10-05","_meta":{"source":"NPPES","snapshot_date":"2021-10-05","doc_url":"https://findmynpi.com/api"}}