{"npi":"1356650006","type":"NPI-1","status":"active","name":{"display":"Mrs. Alicia Mancini PA-C","other":[{"code":"1","type":"Formerly known as","value":"WILLS, ALICIA MAY"}],"first":"ALICIA","last":"MANCINI","middle":"MAY","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":false,"state":"CT","license":"002477"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"MI","license":"5601007930"}]},"addresses":[{"purpose":"LOCATION","street_1":"4100 LAKE DR SE","city":"GRAND RAPIDS","state":"MI","postal_code":"495468292","country_code":"US","street_2":"SUITE 205","phone":"6162677100","fax":"6162677102"},{"purpose":"MAILING","street_1":"100 MICHIGAN ST NE","city":"GRAND RAPIDS","state":"MI","postal_code":"495032560","country_code":"US","street_2":"MC-845","phone":"6162677100","fax":"6162677102"}],"license":{"state":"MI","number":"5601007930"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-09-29","last_updated":"2016-12-19","_meta":{"source":"NPPES","snapshot_date":"2016-12-19","doc_url":"https://findmynpi.com/api"}}