{"npi":"1467486340","type":"NPI-1","status":"active","name":{"display":"Mrs. Heidi Jackson P.A.","other":[{"code":"1","type":"Formerly known as","value":"SUNDELL, HEIDI"}],"first":"HEIDI","last":"JACKSON","credential":"P.A."},"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":"MI","license":"5601004005"}]},"addresses":[{"purpose":"LOCATION","street_1":"1700 CLINTON ST","city":"MUSKEGON","state":"MI","postal_code":"494425502","country_code":"US","phone":"2317285692","fax":"2317284017"},{"purpose":"MAILING","street_1":"PO BOX 1847","city":"MUSKEGON","state":"MI","postal_code":"494431847","country_code":"US","phone":"2317274444","fax":"2317274451"}],"license":{"state":"MI","number":"5601004005"},"identifiers":[{"type_code":"01","label":"Other","value":"MI1763007","state":"MI","issuer":"MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041028000145","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MI","pac_id":"7911969472"}]},"enumeration_date":"2006-07-10","last_updated":"2015-10-08","_meta":{"source":"NPPES","snapshot_date":"2015-10-08","doc_url":"https://findmynpi.com/api"}}