{"npi":"1144865171","type":"NPI-1","status":"active","name":{"display":"Shannon Costello PA-C","other":[],"first":"SHANNON","last":"COSTELLO","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":"AZ","license":"7559"}]},"addresses":[{"purpose":"LOCATION","street_1":"1500 S DOBSON RD STE 202","city":"MESA","state":"AZ","postal_code":"852024724","country_code":"US","phone":"8669742673","fax":"8669392673"},{"purpose":"MAILING","street_1":"18444 N 25TH AVE STE 310","city":"PHOENIX","state":"AZ","postal_code":"850231266","country_code":"US","phone":"8669742673","fax":"8669392673"}],"license":{"state":"AZ","number":"7559"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"007541","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200206001279","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"AZ","pac_id":"5799111969"}]},"enumeration_date":"2019-11-13","last_updated":"2025-08-13","_meta":{"source":"NPPES","snapshot_date":"2025-08-13","doc_url":"https://findmynpi.com/api"}}