{"npi":"1346563145","type":"NPI-1","status":"active","name":{"display":"Carla Gibbs PA-C","other":[{"code":"1","type":"Formerly known as","value":"COUCH, CARLA DIANE"}],"first":"CARLA","last":"GIBBS","middle":"DIANE","credential":"PA-C"},"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":"TX","license":"PA06556"}]},"addresses":[{"purpose":"LOCATION","street_1":"2701 HOSPITAL DR","city":"VICTORIA","state":"TX","postal_code":"779015748","country_code":"US","phone":"3615739181","fax":"3615725126"},{"purpose":"MAILING","street_1":"2701 HOSPITAL DR","city":"VICTORIA","state":"TX","postal_code":"779015748","country_code":"US","phone":"3615739181","fax":"3615725126"}],"license":{"state":"TX","number":"PA06556"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"213213601","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"8L26631","state":"TX","issuer":"MEDICARE PTAN"},{"type_code":"01","label":"Other","value":"821N72","state":"TX","issuer":"BLUE CROSS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100507000416","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"TX","pac_id":"3173651320"}]},"enumeration_date":"2010-03-08","last_updated":"2011-04-13","_meta":{"source":"NPPES","snapshot_date":"2011-04-13","doc_url":"https://findmynpi.com/api"}}