{"npi":"1174810667","type":"NPI-1","status":"active","name":{"display":"Lori Nieboer P.A.-C","other":[],"first":"LORI","last":"NIEBOER","middle":"SUE","credential":"P.A.-C"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"GA","license":"006100"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"MI","license":"5601006254"}]},"addresses":[{"purpose":"LOCATION","street_1":"4685 BELDING RD NE","city":"ROCKFORD","state":"MI","postal_code":"493419605","country_code":"US","phone":"6162523100"},{"purpose":"MAILING","street_1":"4685 BELDING RD NE","city":"ROCKFORD","state":"MI","postal_code":"493419605","country_code":"US","phone":"6162523100"}],"license":{"state":"MI","number":"5601006254"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120420000450","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MI","pac_id":"3476714270"}]},"enumeration_date":"2011-07-05","last_updated":"2023-02-02","_meta":{"source":"NPPES","snapshot_date":"2023-02-02","doc_url":"https://findmynpi.com/api"}}