{"npi":"1124573530","type":"NPI-1","status":"active","name":{"display":"Jessica Rakes PA-C","other":[],"first":"JESSICA","last":"RAKES","middle":"DANIELLE","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"NC","license":"0010-15078"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"KY","license":"PA2166"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"FL","license":"PA9115447"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"NC","license":"0010-15078"}]},"addresses":[{"purpose":"LOCATION","street_1":"938 N BRIGHTLEAF BLVD","city":"SMITHFIELD","state":"NC","postal_code":"275774331","country_code":"US","phone":"9192351525"},{"purpose":"MAILING","street_1":"PO BOX 602195","city":"CHARLOTTE","state":"NC","postal_code":"282602195","country_code":"US","phone":"9193500351","fax":"9193507687"}],"license":{"state":"NC","number":"0010-15078"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1124573530","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20191028002581","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"KY","pac_id":"7416289293"},{"enrlmt_id":"I20220602001337","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"7416289293"},{"enrlmt_id":"I20250421002813","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NC","pac_id":"7416289293"}]},"enumeration_date":"2016-08-16","last_updated":"2025-06-05","_meta":{"source":"NPPES","snapshot_date":"2025-06-05","doc_url":"https://findmynpi.com/api"}}