{"npi":"1023981909","type":"NPI-1","status":"active","name":{"display":"Jenna Moore","other":[],"first":"JENNA","last":"MOORE","middle":"BROOKLYN"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"TX","license":null},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"TX","license":"PA19726"}]},"addresses":[{"purpose":"LOCATION","street_1":"800 5TH AVE STE 300","city":"FORT WORTH","state":"TX","postal_code":"761047303","country_code":"US","phone":"8172505690","fax":"8178785321"},{"purpose":"MAILING","street_1":"5001 STATE HIGHWAY 114 APT 3311","city":"NORTHLAKE","state":"TX","postal_code":"762622278","country_code":"US","phone":"8126217977"}],"license":{"state":"TX","number":"PA19726"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20251213000362","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"TX","pac_id":"2668966938"}]},"enumeration_date":"2025-09-25","last_updated":"2025-12-03","_meta":{"source":"NPPES","snapshot_date":"2025-12-03","doc_url":"https://findmynpi.com/api"}}