{"npi":"1568042935","type":"NPI-1","status":"active","name":{"display":"Madeline Ellis PA","other":[],"first":"MADELINE","last":"ELLIS","middle":"WOOD","credential":"PA"},"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":false,"state":"WA","license":"PA61306757"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"AZ","license":"8497"}]},"addresses":[{"purpose":"LOCATION","street_1":"21980 N 83RD AVE","city":"PEORIA","state":"AZ","postal_code":"853831850","country_code":"US","phone":"6234656375"},{"purpose":"MAILING","street_1":"21980 N 83RD AVE","city":"PEORIA","state":"AZ","postal_code":"853831850","country_code":"US","phone":"6234656375"}],"license":{"state":"AZ","number":"8497"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210927003335","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"AZ","pac_id":"8729485164"},{"enrlmt_id":"I20221205002416","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WA","pac_id":"8729485164"}]},"enumeration_date":"2021-04-10","last_updated":"2025-04-29","_meta":{"source":"NPPES","snapshot_date":"2025-04-29","doc_url":"https://findmynpi.com/api"}}