{"npi":"1407224090","type":"NPI-1","status":"active","name":{"display":"Elizabeth Mitchell PA","other":[{"code":"1","type":"Formerly known as","value":"CHRISTENSEN, ELIZABETH CLAIRE"}],"first":"ELIZABETH","last":"MITCHELL","middle":"CLAIRE","credential":"PA"},"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":"SC","license":"2518"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"MN","license":"13550"}]},"addresses":[{"purpose":"LOCATION","street_1":"3580 ARCADE ST STE 100","city":"VADNAIS HEIGHTS","state":"MN","postal_code":"551277135","country_code":"US","phone":"6519685200"},{"purpose":"MAILING","street_1":"710 COMMERCE DR STE 200","city":"WOODBURY","state":"MN","postal_code":"551254925","country_code":"US","phone":"6519685200","fax":"6517303556"}],"license":{"state":"MN","number":"13550"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2564PA","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160414001270","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"SC","pac_id":"9739487307"},{"enrlmt_id":"I20210112002960","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MN","pac_id":"9739487307"},{"enrlmt_id":"I20251029001478","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NC","pac_id":"9739487307"}]},"enumeration_date":"2015-09-13","last_updated":"2020-12-21","_meta":{"source":"NPPES","snapshot_date":"2020-12-21","doc_url":"https://findmynpi.com/api"}}