{"npi":"1457724072","type":"NPI-1","status":"active","name":{"display":"Tina Knezevic Pac","other":[{"code":"1","type":"Formerly known as","value":"DUDDY, TINA M"}],"first":"TINA","last":"KNEZEVIC","middle":"M","credential":"PAC"},"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":"AZ","license":"6217"}]},"addresses":[{"purpose":"LOCATION","street_1":"13991 W GRAND AVE STE 105","city":"SURPRISE","state":"AZ","postal_code":"853743065","country_code":"US","phone":"8002333264"},{"purpose":"MAILING","street_1":"13991 W GRAND AVE STE 105","city":"SURPRISE","state":"AZ","postal_code":"853743065","country_code":"US","phone":"8002333264"}],"license":{"state":"AZ","number":"6217"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160201001976","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"AZ","pac_id":"7315241056"}]},"enumeration_date":"2015-11-04","last_updated":"2022-10-06","_meta":{"source":"NPPES","snapshot_date":"2022-10-06","doc_url":"https://findmynpi.com/api"}}