{"npi":"1063449072","type":"NPI-1","status":"active","name":{"display":"Shawn Tedford PA-C","other":[],"first":"SHAWN","last":"TEDFORD","middle":"ERIK","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":"NM","license":"PA2007-0004"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"NM","license":"PA2007-0004"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":false,"state":"NM","license":"PA2007-0004"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"WA","license":"PA10003756"}]},"addresses":[{"purpose":"LOCATION","street_1":"1225 CAMPBELL WAY STE 201","city":"BREMERTON","state":"WA","postal_code":"983103323","country_code":"US","phone":"3603771355"},{"purpose":"MAILING","street_1":"1225 CAMPBELL WAY STE 201","city":"BREMERTON","state":"WA","postal_code":"983103323","country_code":"US","phone":"3603771355"}],"license":{"state":"WA","number":"PA10003756"},"identifiers":[{"type_code":"01","label":"Other","value":"205198","state":"WA","issuer":"LABOR & INDUSTRIES"},{"type_code":"05","label":"Medicaid","value":"1001498","state":"WA","issuer":null},{"type_code":"01","label":"Other","value":"8918TE","state":null,"issuer":"REGENCE BLUESHIELD"},{"type_code":"01","label":"Other","value":"8942304","state":"WA","issuer":"CRIME VICTIMS COMP"},{"type_code":"01","label":"Other","value":"P00330803","state":null,"issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20051004000477","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WA","pac_id":"0941235444"}]},"enumeration_date":"2006-06-26","last_updated":"2023-03-07","_meta":{"source":"NPPES","snapshot_date":"2023-03-07","doc_url":"https://findmynpi.com/api"}}