{"npi":"1336267012","type":"NPI-1","status":"active","name":{"display":"Ms. Laurie Mottl PA-C","other":[{"code":"1","type":"Formerly known as","value":"BAKER, LAURIE J"}],"first":"LAURIE","last":"MOTTL","middle":"JENNIFER","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":"AZ","license":"4351"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"IL","license":"085-002366"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"TX","license":"PA07844"}]},"addresses":[{"purpose":"LOCATION","street_1":"4308 MESA DR","city":"DENTON","state":"TX","postal_code":"762073459","country_code":"US","phone":"9403811501","fax":"9405917830"},{"purpose":"MAILING","street_1":"4401 N INTERSTATE 35 UNIT 312","city":"DENTON","state":"TX","postal_code":"762073318","country_code":"US","phone":"9403811501","fax":"9405917830"}],"license":{"state":"TX","number":"PA07844"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"429843","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130717000226","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"TX","pac_id":"3870691470"}]},"enumeration_date":"2007-03-27","last_updated":"2023-03-29","_meta":{"source":"NPPES","snapshot_date":"2023-03-29","doc_url":"https://findmynpi.com/api"}}