{"npi":"1255845517","type":"NPI-1","status":"active","name":{"display":"Kristina Gibson PA","other":[{"code":"1","type":"Formerly known as","value":"KEILSON, KRISTINA YVONNE"}],"first":"KRISTINA","last":"GIBSON","middle":"YVONNE","credential":"PA"},"specialty":{"primary_taxonomy":"2086S0120X","primary_taxonomy_description":"Pediatric Surgery Physician","slug":"pediatric-surgery-physician","schema_org_specialty":null,"all":[{"code":"207PE0004X","description":"Emergency Medical Services (Emergency Medicine) Physician","primary":false,"state":"AZ","license":"6978"},{"code":"2080P0204X","description":"Pediatric Emergency Medicine","primary":false,"state":"AZ","license":"6978"},{"code":"2086S0120X","description":"Pediatric Surgery Physician","primary":false,"state":"AZ","license":"6978"},{"code":"2086S0120X","description":"Pediatric Surgery Physician","primary":true,"state":"AZ","license":"6879"}]},"addresses":[{"purpose":"LOCATION","street_1":"1919 E THOMAS RD","city":"PHOENIX","state":"AZ","postal_code":"850167710","country_code":"US","phone":"6029331000"},{"purpose":"MAILING","street_1":"3200 E CAMELBACK RD STE 250","city":"PHOENIX","state":"AZ","postal_code":"850182327","country_code":"US","phone":"6029331813"}],"license":{"state":"AZ","number":"6879"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171218001522","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"AZ","pac_id":"8426316662"}]},"enumeration_date":"2017-11-24","last_updated":"2021-12-30","_meta":{"source":"NPPES","snapshot_date":"2021-12-30","doc_url":"https://findmynpi.com/api"}}