{"npi":"1013484807","type":"NPI-1","status":"active","name":{"display":"Nancy Reevs PA-C","other":[],"first":"NANCY","last":"REEVS","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"CA","license":"PA56063"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"IL","license":"085010529"}]},"addresses":[{"purpose":"LOCATION","street_1":"435 N 5TH ST","city":"PHOENIX","state":"AZ","postal_code":"850042157","country_code":"US","phone":"2138412147"},{"purpose":"MAILING","street_1":"4368 CLEARWOOD RD","city":"MOORPARK","state":"CA","postal_code":"930212794","country_code":"US","phone":"2138412147"}],"license":{"state":"IL","number":"085010529"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190510001759","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"CA","pac_id":"6002159274"},{"enrlmt_id":"I20230411001441","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"ND","pac_id":"6002159274"},{"enrlmt_id":"I20240806000256","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MO","pac_id":"6002159274"},{"enrlmt_id":"I20240817000490","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IL","pac_id":"6002159274"},{"enrlmt_id":"I20250807002872","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"PA","pac_id":"6002159274"}]},"enumeration_date":"2018-10-30","last_updated":"2024-08-05","_meta":{"source":"NPPES","snapshot_date":"2024-08-05","doc_url":"https://findmynpi.com/api"}}