{"npi":"1972731370","type":"NPI-1","status":"active","name":{"display":"Renee Fuller M.D.","other":[{"code":"1","type":"Formerly known as","value":"RADER, RENEE CHRISTINE"}],"first":"RENEE","last":"FULLER","middle":"CHRISTINE","credential":"M.D."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"MI","license":"4301094316"},{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"KY","license":"45676"}]},"addresses":[{"purpose":"LOCATION","street_1":"609 QUARTER ST","city":"GLADWIN","state":"MI","postal_code":"486241941","country_code":"US","phone":"9892466371","fax":"9892466330"},{"purpose":"MAILING","street_1":"609 QUARTER ST","city":"GLADWIN","state":"MI","postal_code":"486241941","country_code":"US","phone":"9892466371","fax":"9892466330"}],"license":{"state":"MI","number":"4301094316"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20161010000515","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"MI","pac_id":"6002064755"}]},"enumeration_date":"2009-06-24","last_updated":"2016-10-27","_meta":{"source":"NPPES","snapshot_date":"2016-10-27","doc_url":"https://findmynpi.com/api"}}