{"npi":"1083914949","type":"NPI-1","status":"active","name":{"display":"Kelly Stiffler PA","other":[],"first":"KELLY","last":"STIFFLER","middle":"NICOLE","credential":"PA"},"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":"OH","license":"50.003184RX"}]},"addresses":[{"purpose":"LOCATION","street_1":"1 CHILDRENS PLZ","city":"DAYTON","state":"OH","postal_code":"454041815","country_code":"US","phone":"9376413600","fax":"9376415802"},{"purpose":"MAILING","street_1":"PO BOX 933432","city":"CLEVELAND","state":"OH","postal_code":"441930039","country_code":"US","phone":"9376415072","fax":"9376416129"}],"license":{"state":"OH","number":"50.003184RX"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0093179","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101208000674","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"OH","pac_id":"5193912772"}]},"enumeration_date":"2010-10-26","last_updated":"2026-05-29","_meta":{"source":"NPPES","snapshot_date":"2026-05-29","doc_url":"https://findmynpi.com/api"}}