{"npi":"1659072767","type":"NPI-1","status":"active","name":{"display":"Kyle Nathan","other":[],"first":"KYLE","last":"NATHAN"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"ND","license":"PAC1114"},{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"ND","license":"PAC1114"}]},"addresses":[{"purpose":"LOCATION","street_1":"2305 37TH AVE SW","city":"MINOT","state":"ND","postal_code":"587017669","country_code":"US","phone":"7014188000"},{"purpose":"MAILING","street_1":"PO BOX 5010","city":"MINOT","state":"ND","postal_code":"587025010","country_code":"US","phone":"7014188000"}],"license":{"state":"ND","number":"PAC1114"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241022004927","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"ND","pac_id":"3072046572"}]},"enumeration_date":"2023-03-15","last_updated":"2025-09-24","_meta":{"source":"NPPES","snapshot_date":"2025-09-24","doc_url":"https://findmynpi.com/api"}}