{"npi":"1205976487","type":"NPI-1","status":"active","name":{"display":"Sean Bannister PA-C","other":[],"first":"SEAN","last":"BANNISTER","middle":"PATRICK ALONZA","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"FL","license":"PA9105846"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"FL","license":"PA9105846"}]},"addresses":[{"purpose":"LOCATION","street_1":"745 NW FEDERAL HWY","city":"STUART","state":"FL","postal_code":"349941016","country_code":"US","phone":"7722477545","fax":"7722643272"},{"purpose":"MAILING","street_1":"745 NW FEDERAL HWY","city":"STUART","state":"FL","postal_code":"349941016","country_code":"US","phone":"7722477545","fax":"7722643272"}],"license":{"state":"FL","number":"PA9105846"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"003293800","state":"FL","issuer":null},{"type_code":"01","label":"Other","value":"Y06TH","state":"FL","issuer":"BLUE CROSS BLUE SHIELD"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-02-07","last_updated":"2023-09-04","_meta":{"source":"NPPES","snapshot_date":"2023-09-04","doc_url":"https://findmynpi.com/api"}}