{"npi":"1972032472","type":"NPI-1","status":"active","name":{"display":"Mrs. Kim Marie Wallace-Schlick FNP-C","other":[],"first":"KIM MARIE","last":"WALLACE-SCHLICK","credential":"FNP-C"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"NY","license":"342162"}]},"addresses":[{"purpose":"LOCATION","street_1":"2500 NESCONSET HWY BLDG 7","city":"STONY BROOK","state":"NY","postal_code":"117902555","country_code":"US","phone":"6313313304","fax":"6313311932"},{"purpose":"MAILING","street_1":"2700 NESCONSET HIGHWAY","city":"STONY BROOK","state":"NY","postal_code":"11790","country_code":"US","street_2":"BUILDING 7","phone":"6313313304","fax":"6313311932"}],"license":{"state":"NY","number":"342162"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180110001244","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NY","pac_id":"6709145105"}]},"enumeration_date":"2017-06-08","last_updated":"2025-11-17","_meta":{"source":"NPPES","snapshot_date":"2025-11-17","doc_url":"https://findmynpi.com/api"}}