{"npi":"1598823528","type":"NPI-1","status":"active","name":{"display":"Ms. Carol Cornelius PA-C","other":[{"code":"1","type":"Formerly known as","value":"RUSSELL, CAROL S."}],"first":"CAROL","last":"CORNELIUS","middle":"S.","credential":"PA-C"},"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":"NE","license":"931"}]},"addresses":[{"purpose":"LOCATION","street_1":"900 LINCOLN AVE","city":"GRANT","state":"NE","postal_code":"691403095","country_code":"US","phone":"3083527200","fax":"3083527290"},{"purpose":"MAILING","street_1":"912 CENTRAL AVE","city":"GRANT","state":"NE","postal_code":"691403099","country_code":"US","phone":"3083527100","fax":"3083527290"}],"license":{"state":"NE","number":"931"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050613001217","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NE","pac_id":"7214970342"}]},"enumeration_date":"2006-12-04","last_updated":"2019-10-02","_meta":{"source":"NPPES","snapshot_date":"2019-10-02","doc_url":"https://findmynpi.com/api"}}