{"result_count":1,"results":[{"addresses":[{"address_1":"1021 W OAKLAND AVE STE 310","address_purpose":"MAILING","address_type":"DOM","city":"JOHNSON CITY","country_code":"US","country_name":"United States","fax_number":"423-282-1657","postal_code":"376042192","state":"TN","telephone_number":"423-952-2111"},{"address_1":"105 W PARK DR","address_purpose":"LOCATION","address_type":"DOM","city":"KINGSPORT","country_code":"US","country_name":"United States","postal_code":"376603805","state":"TN","telephone_number":"423-224-3220"}],"basic":{"certification_date":"2025-09-05","credential":"M.D.","enumeration_date":"2006-03-15","first_name":"RENEE","last_name":"BOULICAULT","last_updated":"2025-09-05","middle_name":"L","name_prefix":"Dr.","sex":"F","sole_proprietor":"NO","status":"A"},"created_epoch":"1142463210000","endpoints":[{"address_1":"3400 E Racine St","address_type":"DOM","affiliation":"N","city":"Janesville","contentOtherDescription":"CCD","contentType":"OTHER","contentTypeDescription":"Other","country_code":"US","country_name":"United States","endpoint":"https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/","endpointType":"FHIR","endpointTypeDescription":"FHIR URL","postal_code":"535462344","state":"WI","use":"OTHER","useDescription":"Other","useOtherDescription":"FHIR API"},{"address_1":"3400 E Racine St","address_type":"DOM","affiliation":"N","city":"Janesville","contentOtherDescription":"rboulicauult520689@direct-ehr-ssmhc.com","contentType":"OTHER","contentTypeDescription":"Other","country_code":"US","country_name":"United States","endpoint":"rboulicauult520689@direct-ehr-ssmhc.com","endpointType":"DIRECT","endpointTypeDescription":"Direct Messaging Address","postal_code":"535462344","state":"WI","use":"DIRECT","useDescription":"Direct"}],"enumeration_type":"NPI-1","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"1639148422","issuer":null,"state":"WI"}],"last_updated_epoch":"1757085481000","number":"1639148422","other_names":[],"practiceLocations":[{"address_1":"3400 E RACINE ST","address_purpose":"LOCATION","address_type":"DOM","city":"JANESVILLE","country_code":"US","country_name":"United States","fax_number":"608-371-8928","postal_code":"535462344","state":"WI","telephone_number":"608-373-8000"},{"address_1":"1601 E BROADWAY","address_2":"SUITE 100","address_purpose":"LOCATION","address_type":"DOM","city":"COLUMBIA","country_code":"US","country_name":"United States","fax_number":"573-875-3949","postal_code":"652018020","state":"MO","telephone_number":"573-443-8796"}],"taxonomies":[{"code":"207V00000X","desc":"Obstetrics & Gynecology","license":"4868-320","primary":false,"state":"WI","taxonomy_group":""},{"code":"207V00000X","desc":"Obstetrics & Gynecology","license":"103629","primary":false,"state":"MO","taxonomy_group":""},{"code":"207V00000X","desc":"Obstetrics & Gynecology","license":"70768","primary":false,"state":"TN","taxonomy_group":""},{"code":"208M00000X","desc":"Hospitalist","license":"70768","primary":true,"state":"TN","taxonomy_group":""}]}]}