{"npi":"1194036269","type":"NPI-1","status":"active","name":{"display":"Amelia Elliott PA","other":[{"code":"1","type":"Formerly known as","value":"CANRIGHT, AMELIA ELISABETH"}],"first":"AMELIA","last":"ELLIOTT","middle":"ELISABETH CANRIGHT","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":false,"state":"IL","license":"085003759"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"OR","license":"PA222049"}]},"addresses":[{"purpose":"LOCATION","street_1":"441 NW ELKS DR STE 101","city":"CORVALLIS","state":"OR","postal_code":"973303744","country_code":"US","phone":"5417685200"},{"purpose":"MAILING","street_1":"PO BOX 1189","city":"CORVALLIS","state":"OR","postal_code":"973391189","country_code":"US"}],"license":{"state":"OR","number":"PA222049"},"identifiers":[{"type_code":"01","label":"Other","value":"085003759","state":"IL","issuer":"LICENSE"},{"type_code":"01","label":"Other","value":"0110004231","state":"VA","issuer":"LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160816002819","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IL","pac_id":"3779806138"},{"enrlmt_id":"I20241010003790","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"OR","pac_id":"3779806138"}]},"enumeration_date":"2010-06-23","last_updated":"2024-10-28","_meta":{"source":"NPPES","snapshot_date":"2024-10-28","doc_url":"https://findmynpi.com/api"}}