{"npi":"1497717748","type":"NPI-1","status":"active","name":{"display":"Jennifer Bollyky M.D.","other":[{"code":"1","type":"Formerly known as","value":"BEART, JENNIFER A"}],"first":"JENNIFER","last":"BOLLYKY","middle":"BEART","credential":"M.D."},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"CA","license":"C55872"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"WA","license":"MD00044340"}]},"addresses":[{"purpose":"LOCATION","street_1":"300 PASTEUR DR","city":"STANFORD","state":"CA","postal_code":"943052200","country_code":"US","phone":"6507234000"},{"purpose":"MAILING","street_1":"300 PASTEUR DR","city":"STANFORD","state":"CA","postal_code":"943052200","country_code":"US","phone":"6507234000"}],"license":{"state":"CA","number":"C55872"},"identifiers":[{"type_code":"01","label":"Other","value":"3536BO","state":"WA","issuer":"REGENCE BLUESHIELD RIDER"},{"type_code":"05","label":"Medicaid","value":"8415879","state":"WA","issuer":null},{"type_code":"01","label":"Other","value":"0192575","state":"WA","issuer":"L & I WORKERS COMP"},{"type_code":"01","label":"Other","value":"P00188398","state":"WA","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160516000312","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"CA","pac_id":"7416900568"}]},"enumeration_date":"2006-04-03","last_updated":"2024-04-17","_meta":{"source":"NPPES","snapshot_date":"2024-04-17","doc_url":"https://findmynpi.com/api"}}