{"npi":"1326370438","type":"NPI-1","status":"active","name":{"display":"Kimberly Fields PA-C","other":[{"code":"1","type":"Formerly known as","value":"CAMPBELL, KIMBERLY BROOKE"}],"first":"KIMBERLY","last":"FIELDS","middle":"BROOKE","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"NC","license":"0010-03823"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"VA","license":"0110003169"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"WV","license":"488"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"VA","license":"0110-002169"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"VA","license":"0110-003169"}]},"addresses":[{"purpose":"LOCATION","street_1":"64 SYCOLIN RD SE # B","city":"LEESBURG","state":"VA","postal_code":"201754112","country_code":"US","phone":"7035447145"},{"purpose":"MAILING","street_1":"75 W LEE HWY","city":"WARRENTON","state":"VA","postal_code":"201862149","country_code":"US"}],"license":{"state":"VA","number":"0110-003169"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1326370438","state":"VA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160323001312","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"VA","pac_id":"1254466865"}]},"enumeration_date":"2010-02-01","last_updated":"2024-02-27","_meta":{"source":"NPPES","snapshot_date":"2024-02-27","doc_url":"https://findmynpi.com/api"}}