{"npi":"1295101731","type":"NPI-1","status":"active","name":{"display":"Breanne Fuller PA-C","other":[],"first":"BREANNE","last":"FULLER","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":"NY","license":"018825"}]},"addresses":[{"purpose":"LOCATION","street_1":"71 PROSPECT AVE","city":"HUDSON","state":"NY","postal_code":"125342907","country_code":"US","phone":"5187919482"},{"purpose":"MAILING","street_1":"31 BROOKSIDE DR","city":"SARATOGA SPRINGS","state":"NY","postal_code":"128666303","country_code":"US"}],"license":{"state":"NY","number":"018825"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150928001158","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NY","pac_id":"4880902659"}]},"enumeration_date":"2015-08-19","last_updated":"2018-03-16","_meta":{"source":"NPPES","snapshot_date":"2018-03-16","doc_url":"https://findmynpi.com/api"}}