{"npi":"1144210386","type":"NPI-1","status":"active","name":{"display":"Julie Dean PA-C","other":[{"code":"1","type":"Formerly known as","value":"KIES, JULIE A."}],"first":"JULIE","last":"DEAN","middle":"A.","credential":"PA-C"},"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":"WI","license":"1171"}]},"addresses":[{"purpose":"LOCATION","street_1":"15954 RIVERS EDGE DR","city":"HAYWARD","state":"WI","postal_code":"548437800","country_code":"US","phone":"7156342541","fax":"7156345740"},{"purpose":"MAILING","street_1":"15735 W US HIGHWAY 63","city":"HAYWARD","state":"WI","postal_code":"548436475","country_code":"US","phone":"8888344551","fax":"7155984881"}],"license":{"state":"WI","number":"1171"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"42992000","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20060214000601","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WI","pac_id":"6800801713"}]},"enumeration_date":"2005-10-27","last_updated":"2023-10-05","_meta":{"source":"NPPES","snapshot_date":"2023-10-05","doc_url":"https://findmynpi.com/api"}}