{"npi":"1023530342","type":"NPI-1","status":"active","name":{"display":"Olivia Larussa PA-C","other":[],"first":"OLIVIA","last":"LARUSSA","middle":"MAE","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"207XX0005X","description":"Orthopaedic Sports Medicine","primary":false,"state":"SC","license":"TL2763"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":false,"state":"SC","license":"2763"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"DC","license":"PA200001702"}]},"addresses":[{"purpose":"LOCATION","street_1":"900 23RD ST NW","city":"WASHINGTON","state":"DC","postal_code":"200372342","country_code":"US","phone":"2027413000"},{"purpose":"MAILING","street_1":"3811 FAIRFAX DR STE 1000","city":"ARLINGTON","state":"VA","postal_code":"222031782","country_code":"US","phone":"2027413574","fax":"2027413219"}],"license":{"state":"DC","number":"PA200001702"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3448PA","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180618001382","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"SC","pac_id":"7113272006"},{"enrlmt_id":"I20200116000698","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"DC","pac_id":"7113272006"}]},"enumeration_date":"2017-07-07","last_updated":"2023-11-21","_meta":{"source":"NPPES","snapshot_date":"2023-11-21","doc_url":"https://findmynpi.com/api"}}