{"npi":"1265164669","type":"NPI-1","status":"active","name":{"display":"Ms. Simona Ilizarov PA-C","other":[],"first":"SIMONA","last":"ILIZAROV","middle":"A","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":"NC","license":"0010-14304"}]},"addresses":[{"purpose":"LOCATION","street_1":"3024 NEW BERN AVE STE 101","city":"RALEIGH","state":"NC","postal_code":"276101247","country_code":"US","phone":"9193505318"},{"purpose":"MAILING","street_1":"3024 NEW BERN AVE STE 101","city":"RALEIGH","state":"NC","postal_code":"276101247","country_code":"US"}],"license":{"state":"NC","number":"0010-14304"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1265164669","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231020000965","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"1951757335"},{"enrlmt_id":"I20240917001284","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NC","pac_id":"1951757335"}]},"enumeration_date":"2022-06-26","last_updated":"2024-10-07","_meta":{"source":"NPPES","snapshot_date":"2024-10-07","doc_url":"https://findmynpi.com/api"}}