{"npi":"1174869986","type":"NPI-1","status":"active","name":{"display":"Jamie Faber PA","other":[{"code":"1","type":"Formerly known as","value":"ECK, JAMIE MARIE"}],"first":"JAMIE","last":"FABER","middle":"MARIE","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":"TX","license":"PA08192"}]},"addresses":[{"purpose":"LOCATION","street_1":"3450 W CAMP WISDOM RD","city":"DALLAS","state":"TX","postal_code":"752372515","country_code":"US","phone":"2142145800"},{"purpose":"MAILING","street_1":"1113 N CANTERBURY CT","city":"DALLAS","state":"TX","postal_code":"752082741","country_code":"US","phone":"3163225129"}],"license":{"state":"TX","number":"PA08192"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"316587001","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"897N41","state":"TX","issuer":"BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130131000290","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"TX","pac_id":"2769636604"}]},"enumeration_date":"2012-12-26","last_updated":"2023-12-05","_meta":{"source":"NPPES","snapshot_date":"2023-12-05","doc_url":"https://findmynpi.com/api"}}