{"npi":"1124393095","type":"NPI-1","status":"active","name":{"display":"Mallory Larkin PA","other":[{"code":"1","type":"Formerly known as","value":"HELTON, MALLORY E"}],"first":"MALLORY","last":"LARKIN","middle":"E","credential":"PA"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":false,"state":"OR","license":"PA156716"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"KS","license":"15-01709"}]},"addresses":[{"purpose":"LOCATION","street_1":"6265 ROCK CHALK DR STE 1500","city":"LAWRENCE","state":"KS","postal_code":"660495232","country_code":"US","phone":"7858439125","fax":"7855055312"},{"purpose":"MAILING","street_1":"325 MAINE ST","city":"LAWRENCE","state":"KS","postal_code":"660441360","country_code":"US","phone":"7855052988"}],"license":{"state":"KS","number":"15-01709"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"30004345940001","state":"KS","issuer":null},{"type_code":"01","label":"Other","value":"15-01709","state":"KS","issuer":"STATE LICENSE"},{"type_code":"01","label":"Other","value":"PA156716","state":"OR","issuer":"STATE LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141126001506","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"KS","pac_id":"2163685496"}]},"enumeration_date":"2012-03-12","last_updated":"2023-10-11","_meta":{"source":"NPPES","snapshot_date":"2023-10-11","doc_url":"https://findmynpi.com/api"}}