{"npi":"1093434870","type":"NPI-1","status":"active","name":{"display":"Anissa Peterson PA-C","other":[{"code":"1","type":"Formerly known as","value":"MARTINEZ, ANISSA"}],"first":"ANISSA","last":"PETERSON","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":"MI","license":"5601011567"}]},"addresses":[{"purpose":"LOCATION","street_1":"1111 TENEYCK ST STE 100","city":"JACKSON","state":"MI","postal_code":"492012493","country_code":"US","phone":"5172058940","fax":"5172050108"},{"purpose":"MAILING","street_1":"1 FORD PL STE 3A","city":"DETROIT","state":"MI","postal_code":"482023450","country_code":"US","phone":"3138744806"}],"license":{"state":"MI","number":"5601011567"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230725002534","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MI","pac_id":"0840651774"}]},"enumeration_date":"2022-08-24","last_updated":"2025-10-06","_meta":{"source":"NPPES","snapshot_date":"2025-10-06","doc_url":"https://findmynpi.com/api"}}