{"npi":"1447737598","type":"NPI-1","status":"active","name":{"display":"Nikki Kistler PA-C","other":[{"code":"1","type":"Formerly known as","value":"CHECK, NIKKI"}],"first":"NIKKI","last":"KISTLER","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":false,"state":"MA","license":"PA7189"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"PA","license":"MA063975"}]},"addresses":[{"purpose":"LOCATION","street_1":"4815 LIBERTY AVE STE 425","city":"PITTSBURGH","state":"PA","postal_code":"152242156","country_code":"US","phone":"4123594352","fax":"4123598285"},{"purpose":"MAILING","street_1":"4815 LIBERTY AVE STE 425","city":"PITTSBURGH","state":"PA","postal_code":"152242156","country_code":"US","phone":"4123594352","fax":"4123598285"}],"license":{"state":"PA","number":"MA063975"},"identifiers":[{"type_code":"01","label":"Other","value":"14578398","state":null,"issuer":"CAQH"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20191205001498","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MA","pac_id":"1759626245"},{"enrlmt_id":"I20230202002099","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"PA","pac_id":"1759626245"}]},"enumeration_date":"2018-07-22","last_updated":"2023-08-14","_meta":{"source":"NPPES","snapshot_date":"2023-08-14","doc_url":"https://findmynpi.com/api"}}