{"npi":"1447694658","type":"NPI-1","status":"active","name":{"display":"Chelsea Wilson Rt","other":[],"first":"CHELSEA","last":"WILSON","credential":"RT"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"IN","license":"10000679A"}]},"addresses":[{"purpose":"LOCATION","street_1":"9998 CROSSPOINT BLVD STE 200","city":"INDIANAPOLIS","state":"IN","postal_code":"462563307","country_code":"US","phone":"3178068285","fax":"3175792130"},{"purpose":"MAILING","street_1":"9998 CROSSPOINT BLVD STE 200","city":"INDIANAPOLIS","state":"IN","postal_code":"462563307","country_code":"US","phone":"3178068285","fax":"3175792130"}],"license":{"state":"IN","number":"10000679A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"300022799","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190212001480","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IN","pac_id":"2466790753"}]},"enumeration_date":"2013-04-18","last_updated":"2021-02-03","_meta":{"source":"NPPES","snapshot_date":"2021-02-03","doc_url":"https://findmynpi.com/api"}}