{"npi":"1033210372","type":"NPI-1","status":"active","name":{"display":"Ms. Alexandra Engstrom PA-C","other":[{"code":"1","type":"Formerly known as","value":"HUBER, ALEXANDRA"}],"first":"ALEXANDRA","last":"ENGSTROM","credential":"PA-C"},"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":null,"license":null},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"FL","license":"PA9102026"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"WA","license":"PA60147999"}]},"addresses":[{"purpose":"LOCATION","street_1":"1225 CAMPBELL WAY STE 101","city":"BREMERTON","state":"WA","postal_code":"983103323","country_code":"US","phone":"3604794203","fax":"2538584348"},{"purpose":"MAILING","street_1":"1225 CAMPBELL WAY STE 101","city":"BREMERTON","state":"WA","postal_code":"983103323","country_code":"US","phone":"3604794203","fax":"2538584348"}],"license":{"state":"WA","number":"PA60147999"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2010157","state":"WA","issuer":null},{"type_code":"05","label":"Medicaid","value":"292779900","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101229000877","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WA","pac_id":"0648296533"}]},"enumeration_date":"2006-09-26","last_updated":"2020-12-03","_meta":{"source":"NPPES","snapshot_date":"2020-12-03","doc_url":"https://findmynpi.com/api"}}