{"npi":"1184603680","type":"NPI-1","status":"active","name":{"display":"Rebecca Pengilly MD","other":[],"first":"REBECCA","last":"PENGILLY","middle":"L","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"SD","license":"5123"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"OR","license":"MD182380"}]},"addresses":[{"purpose":"LOCATION","street_1":"1705 WAVERLY DR SE","city":"ALBANY","state":"OR","postal_code":"973226952","country_code":"US","phone":"5419678221"},{"purpose":"MAILING","street_1":"444 NW ELKS DR","city":"CORVALLIS","state":"OR","postal_code":"973303745","country_code":"US","phone":"5419678221"}],"license":{"state":"OR","number":"MD182380"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"5611360","state":"SD","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170629000924","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"OR","pac_id":"7315844883"}]},"enumeration_date":"2006-01-12","last_updated":"2021-06-29","_meta":{"source":"NPPES","snapshot_date":"2021-06-29","doc_url":"https://findmynpi.com/api"}}