{"npi":"1558098616","type":"NPI-1","status":"active","name":{"display":"Jacqualin Wood PA-C","other":[{"code":"1","type":"Formerly known as","value":"LYDEN, JACQUALIN ALEXIS"}],"first":"JACQUALIN","last":"WOOD","middle":"ALEXIS","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"PA","license":"MA063788"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"PA","license":"MA063788"}]},"addresses":[{"purpose":"LOCATION","street_1":"100 N ACADEMY AVE","city":"DANVILLE","state":"PA","postal_code":"178220001","country_code":"US","phone":"5702716211","fax":"5702716507"},{"purpose":"MAILING","street_1":"100 N ACADEMY AVE","city":"DANVILLE","state":"PA","postal_code":"178224903","country_code":"US","phone":"5702716144"}],"license":{"state":"PA","number":"MA063788"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20221104002833","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"PA","pac_id":"9537536404"}]},"enumeration_date":"2022-08-08","last_updated":"2024-11-14","_meta":{"source":"NPPES","snapshot_date":"2024-11-14","doc_url":"https://findmynpi.com/api"}}