{"npi":"1205558129","type":"NPI-1","status":"active","name":{"display":"Rezeda Zinyatullova PA-C","other":[],"first":"REZEDA","last":"ZINYATULLOVA","middle":"Y.","credential":"PA-C"},"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":"ME","license":"PA2422"}]},"addresses":[{"purpose":"LOCATION","street_1":"84 MARGINAL WAY STE 700","city":"PORTLAND","state":"ME","postal_code":"041012481","country_code":"US","phone":"2077745816"},{"purpose":"MAILING","street_1":"100 GANNETT DR STE C","city":"SOUTH PORTLAND","state":"ME","postal_code":"041065900","country_code":"US","phone":"2078280361","fax":"2078741483"}],"license":{"state":"ME","number":"PA2422"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20221107002936","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"ME","pac_id":"8022485853"}]},"enumeration_date":"2022-09-16","last_updated":"2024-02-21","_meta":{"source":"NPPES","snapshot_date":"2024-02-21","doc_url":"https://findmynpi.com/api"}}