{"npi":"1497267637","type":"NPI-1","status":"active","name":{"display":"Mr. Jonathon Ennis Pac","other":[],"first":"JONATHON","last":"ENNIS","middle":"LEE","credential":"PAC"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"KY","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"805 BARDSTOWN RD","city":"SPRINGFIELD","state":"KY","postal_code":"40069","country_code":"US","phone":"8594817113","fax":"8594817114"},{"purpose":"MAILING","street_1":"805 BARDSTOWN RD","city":"SPRINGFIELD","state":"KY","postal_code":"400691513","country_code":"US","phone":"8594817113","fax":"8594817114"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"7100515140","state":"KY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180206000197","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"KY","pac_id":"6305106675"}]},"enumeration_date":"2017-10-27","last_updated":"2019-03-28","_meta":{"source":"NPPES","snapshot_date":"2019-03-28","doc_url":"https://findmynpi.com/api"}}