{"npi":"1629020201","type":"NPI-1","status":"active","name":{"display":"Jeffrey Roberts P.A.","other":[],"first":"JEFFREY","last":"ROBERTS","middle":"B","credential":"P.A."},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":false,"state":"IL","license":"085001791"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"6000 N ALLEN ROAD","city":"PEORIA","state":"IL","postal_code":"616143294","country_code":"US","phone":"3096911400"},{"purpose":"MAILING","street_1":"6000 N ALLEN ROAD","city":"PEORIA","state":"IL","postal_code":"616143294","country_code":"US","phone":"3096911400"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"085001791","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100729000341","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IL","pac_id":"5799818613"}]},"enumeration_date":"2006-05-16","last_updated":"2020-10-26","_meta":{"source":"NPPES","snapshot_date":"2020-10-26","doc_url":"https://findmynpi.com/api"}}