{"npi":"1356766620","type":"NPI-1","status":"active","name":{"display":"Gracemarie Walls PA-C","other":[],"first":"GRACEMARIE","last":"WALLS","middle":"ROSARIO","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":"FL","license":"PA9108066"}]},"addresses":[{"purpose":"LOCATION","street_1":"13564 VILLAGE PARK DR UNIT O-355","city":"ORLANDO","state":"FL","postal_code":"328377760","country_code":"US","phone":"4079744056","fax":"4075507844"},{"purpose":"MAILING","street_1":"13564 VILLAGE PARK DR UNIT O-355","city":"ORLANDO","state":"FL","postal_code":"328377760","country_code":"US","phone":"3214965717"}],"license":{"state":"FL","number":"PA9108066"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150304000780","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"1052637345"}]},"enumeration_date":"2014-02-24","last_updated":"2025-10-25","_meta":{"source":"NPPES","snapshot_date":"2025-10-25","doc_url":"https://findmynpi.com/api"}}