{"npi":"1114001237","type":"NPI-1","status":"active","name":{"display":"Sheresa Wilson PA-C, Lmhca","other":[{"code":"1","type":"Formerly known as","value":"WILSON-DEVRIES, SHERESA"}],"first":"SHERESA","last":"WILSON","credential":"PA-C, LMHCA"},"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":"IN","license":"10000892A"},{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"IN","license":"88001982A"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"MI","license":"5601005190"}]},"addresses":[{"purpose":"LOCATION","street_1":"2710 LAKE AVE","city":"FORT WAYNE","state":"IN","postal_code":"468055412","country_code":"US","phone":"2604812700","fax":"2609698448"},{"purpose":"MAILING","street_1":"16311 PAGE RD","city":"GRABILL","state":"IN","postal_code":"467419612","country_code":"US","phone":"2604526700"}],"license":{"state":"IN","number":"10000892A"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200110000834","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MI","pac_id":"4385748201"},{"enrlmt_id":"I20260116002363","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"IN","pac_id":"4385748201"},{"enrlmt_id":"I20260211002057","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"OH","pac_id":"4385748201"}]},"enumeration_date":"2006-10-25","last_updated":"2026-01-13","_meta":{"source":"NPPES","snapshot_date":"2026-01-13","doc_url":"https://findmynpi.com/api"}}