{"npi":"1083492011","type":"NPI-1","status":"active","name":{"display":"Mia Watson PA-C","other":[],"first":"MIA","last":"WATSON","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":true,"state":"PA","license":"MA065077"}]},"addresses":[{"purpose":"LOCATION","street_1":"12000 BUSTLETON AVE STE 102","city":"PHILADELPHIA","state":"PA","postal_code":"191162151","country_code":"US","phone":"2156737600","fax":"2156731894"},{"purpose":"MAILING","street_1":"3509 N BROAD ST","city":"PHILADELPHIA","state":"PA","postal_code":"191404105","country_code":"US","phone":"2157073911"}],"license":{"state":"PA","number":"MA065077"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231213001320","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"PA","pac_id":"4880043041"}]},"enumeration_date":"2023-09-20","last_updated":"2026-05-12","_meta":{"source":"NPPES","snapshot_date":"2026-05-12","doc_url":"https://findmynpi.com/api"}}