{"npi":"1215568175","type":"NPI-1","status":"active","name":{"display":"Mrs. Mikayla Grevengoed PA","other":[{"code":"1","type":"Formerly known as","value":"LOCKE, MIKAYLA K"}],"first":"MIKAYLA","last":"GREVENGOED","middle":"K","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":"IA","license":"115612"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"NE","license":"2429"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"NE","license":"2429"}]},"addresses":[{"purpose":"LOCATION","street_1":"8200 DODGE ST","city":"OMAHA","state":"NE","postal_code":"68114","country_code":"US","phone":"4029555400","fax":"4029554364"},{"purpose":"MAILING","street_1":"PO BOX 24607","city":"OMAHA","state":"NE","postal_code":"68124","country_code":"US","phone":"4029555400","fax":"4029553674"}],"license":{"state":"NE","number":"2429"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2020-01-30","last_updated":"2023-05-13","_meta":{"source":"NPPES","snapshot_date":"2023-05-13","doc_url":"https://findmynpi.com/api"}}