{"npi":"1164559142","type":"NPI-1","status":"active","name":{"display":"Shawn Susser PA","other":[],"first":"SHAWN","last":"SUSSER","middle":"A","credential":"PA"},"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":"CO","license":"993"}]},"addresses":[{"purpose":"LOCATION","street_1":"10240 PARK MEADOWS DR","city":"LONE TREE","state":"CO","postal_code":"801245425","country_code":"US","phone":"3033384545"},{"purpose":"MAILING","street_1":"10350 E DAKOTA AVE","city":"DENVER","state":"CO","postal_code":"802471314","country_code":"US"}],"license":{"state":"CO","number":"993"},"identifiers":[{"type_code":"01","label":"Other","value":"010396","state":null,"issuer":"KAISER-COMMERCIAL NUMBER"},{"type_code":"05","label":"Medicaid","value":"79107010","state":"CO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110623000037","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"CO","pac_id":"0749468700"}]},"enumeration_date":"2007-02-27","last_updated":"2021-04-28","_meta":{"source":"NPPES","snapshot_date":"2021-04-28","doc_url":"https://findmynpi.com/api"}}