{"npi":"1336797117","type":"NPI-1","status":"active","name":{"display":"Tiffany Taylor Mpa","other":[{"code":"1","type":"Formerly known as","value":"PETERSEN, TIFFANY DAWN"}],"first":"TIFFANY","last":"TAYLOR","middle":"DAWN","credential":"MPA"},"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":"CO","license":"PA.0006832"}]},"addresses":[{"purpose":"LOCATION","street_1":"3150 N 12TH ST","city":"GRAND JUNCTION","state":"CO","postal_code":"815062863","country_code":"US","phone":"9702565201","fax":"9702565202"},{"purpose":"MAILING","street_1":"PO BOX 10700","city":"GRAND JUNCTION","state":"CO","postal_code":"815025517","country_code":"US","phone":"9702542642"}],"license":{"state":"CO","number":"PA.0006832"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210713001172","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"CO","pac_id":"2769884899"}]},"enumeration_date":"2019-08-26","last_updated":"2024-10-17","_meta":{"source":"NPPES","snapshot_date":"2024-10-17","doc_url":"https://findmynpi.com/api"}}