{"npi":"1124473616","type":"NPI-1","status":"active","name":{"display":"Susan Mims","other":[],"first":"SUSAN","last":"MIMS"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2500 N ESPLANADE ST","city":"CUERO","state":"TX","postal_code":"779544723","country_code":"US","street_2":"SUITE 101","phone":"3612752381"},{"purpose":"MAILING","street_1":"2500 N ESPLANADE ST","city":"CUERO","state":"TX","postal_code":"779544727","country_code":"US","street_2":"STE 102","phone":"3612752381"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"365219001","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20161214000837","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"TX","pac_id":"1254611056"}]},"enumeration_date":"2016-05-03","last_updated":"2021-09-29","_meta":{"source":"NPPES","snapshot_date":"2021-09-29","doc_url":"https://findmynpi.com/api"}}