{"npi":"1588909659","type":"NPI-1","status":"active","name":{"display":"Amanda Ward PA-C","other":[{"code":"1","type":"Formerly known as","value":"ECKLUND, AMANDA JEANETTE"}],"first":"AMANDA","last":"WARD","middle":"JEANETTE","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":"MA055829"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"PA","license":"MA055829"}]},"addresses":[{"purpose":"LOCATION","street_1":"2140 KINGSLEY AVE","city":"ORANGE PARK","state":"FL","postal_code":"320735180","country_code":"US","street_2":"SUITE 1","phone":"9042720579"},{"purpose":"MAILING","street_1":"915 BENNER PIKE","city":"STATE COLLEGE","state":"PA","postal_code":"168017395","country_code":"US","phone":"8148677030","fax":"8148677032"}],"license":{"state":"PA","number":"MA055829"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2012-11-30","last_updated":"2024-08-06","_meta":{"source":"NPPES","snapshot_date":"2024-08-06","doc_url":"https://findmynpi.com/api"}}