{"npi":"1093107641","type":"NPI-1","status":"active","name":{"display":"Nicole Wharton","other":[{"code":"1","type":"Formerly known as","value":"HWA, NICOLE"}],"first":"NICOLE","last":"WHARTON"},"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":"FL","license":"PA9108349"}]},"addresses":[{"purpose":"LOCATION","street_1":"1503 BUENOS AIRES BLVD","city":"THE VILLAGES","state":"FL","postal_code":"321596821","country_code":"US","street_2":"BLDG 100","phone":"3527532812","fax":"3527535037"},{"purpose":"MAILING","street_1":"151 SOUTHHALL LN","city":"MAITLAND","state":"FL","postal_code":"327517176","country_code":"US","street_2":"STE 300","phone":"4078752080","fax":"4076503455"}],"license":{"state":"FL","number":"PA9108349"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"015383600","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150420001195","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"3678891850"}]},"enumeration_date":"2015-02-19","last_updated":"2017-04-26","_meta":{"source":"NPPES","snapshot_date":"2017-04-26","doc_url":"https://findmynpi.com/api"}}