{"npi":"1346972502","type":"NPI-1","status":"active","name":{"display":"Breanna Black PA-C","other":[],"first":"BREANNA","last":"BLACK","middle":"BRADLEY","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":"UT","license":"13603008-1206"}]},"addresses":[{"purpose":"LOCATION","street_1":"1055 N 500 W BLDG A","city":"PROVO","state":"UT","postal_code":"846043305","country_code":"US","phone":"8018125033","fax":"8014180941"},{"purpose":"MAILING","street_1":"1055 N 500 W","city":"PROVO","state":"UT","postal_code":"846043305","country_code":"US","street_2":"ATTN CREDENTIALING","phone":"8013548225","fax":"8014180941"}],"license":{"state":"UT","number":"13603008-1206"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231018003388","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"UT","pac_id":"3577918044"}]},"enumeration_date":"2022-06-27","last_updated":"2023-10-03","_meta":{"source":"NPPES","snapshot_date":"2023-10-03","doc_url":"https://findmynpi.com/api"}}