{"npi":"1093733693","type":"NPI-1","status":"active","name":{"display":"Terry Peterson PA-C","other":[],"first":"TERRY","last":"PETERSON","middle":"A","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"MN","license":"9599"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"ND","license":"PAC0208"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"ND","license":"PAC0208"}]},"addresses":[{"purpose":"LOCATION","street_1":"2601 BROADWAY N","city":"FARGO","state":"ND","postal_code":"581026704","country_code":"US","phone":"7012342900","fax":"7012342996"},{"purpose":"MAILING","street_1":"2601 BROADWAY N","city":"FARGO","state":"ND","postal_code":"581026704","country_code":"US","phone":"7012342900","fax":"7012342996"}],"license":{"state":"ND","number":"PAC0208"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"71084","state":"ND","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090713000531","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"ND","pac_id":"7012962434"}]},"enumeration_date":"2006-07-18","last_updated":"2016-04-18","_meta":{"source":"NPPES","snapshot_date":"2016-04-18","doc_url":"https://findmynpi.com/api"}}