{"npi":"1306228952","type":"NPI-1","status":"active","name":{"display":"Mrs. Elizabeth Muchmore PA-C, Mms, Ms, Rd","other":[{"code":"1","type":"Formerly known as","value":"OUTLAW, ELIZABETH PAIGE"}],"first":"ELIZABETH","last":"MUCHMORE","middle":"OUTLAW","credential":"PA-C, MMS, MS, RD"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"133V00000X","description":"Registered Dietitian","primary":false,"state":null,"license":null},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"FL","license":"PA9115135"}]},"addresses":[{"purpose":"LOCATION","street_1":"204 SOUTHPARK CIR E","city":"ST AUGUSTINE","state":"FL","postal_code":"320865135","country_code":"US","phone":"9048298300"},{"purpose":"MAILING","street_1":"400 HEALTH PARK BLVD","city":"ST. AUGUSTINE","state":"FL","postal_code":"32086","country_code":"US","street_2":"FLAGLER HOSPITAL"}],"license":{"state":"FL","number":"PA9115135"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20251226001144","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"2466976485"}]},"enumeration_date":"2015-06-19","last_updated":"2024-07-01","_meta":{"source":"NPPES","snapshot_date":"2024-07-01","doc_url":"https://findmynpi.com/api"}}