{"npi":"1295877785","type":"NPI-1","status":"active","name":{"display":"Mrs. Lisa Johnson P.A.","other":[],"first":"LISA","last":"JOHNSON","middle":"MARIE","credential":"P.A."},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"OK","license":"1338"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"FL","license":"PA9108416"}]},"addresses":[{"purpose":"LOCATION","street_1":"150 5TH AVE STE A","city":"INDIALANTIC","state":"FL","postal_code":"329033154","country_code":"US","phone":"3212546803","fax":"3212546819"},{"purpose":"MAILING","street_1":"150 5TH AVE STE A","city":"INDIALANTIC","state":"FL","postal_code":"329033154","country_code":"US","phone":"3212546803","fax":"3212546819"}],"license":{"state":"FL","number":"PA9108416"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200028010A","state":"OK","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-02-13","last_updated":"2022-03-28","_meta":{"source":"NPPES","snapshot_date":"2022-03-28","doc_url":"https://findmynpi.com/api"}}