{"npi":"1659367407","type":"NPI-1","status":"active","name":{"display":"Mrs. Diana Walter PA-C","other":[{"code":"1","type":"Formerly known as","value":"HERTEL, DIANA LYNN"}],"first":"DIANA","last":"WALTER","middle":"HERTEL","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"FL","license":"PA9102544"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"FL","license":"PA102544"}]},"addresses":[{"purpose":"LOCATION","street_1":"455 PINELLAS ST STE 320","city":"CLEARWATER","state":"FL","postal_code":"337563369","country_code":"US","phone":"7274462273","fax":"7274414966"},{"purpose":"MAILING","street_1":"455 PINELLAS ST STE 320","city":"CLEARWATER","state":"FL","postal_code":"337563369","country_code":"US","phone":"7274462273","fax":"7274475972"}],"license":{"state":"FL","number":"PA102544"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"105528400","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20051005000826","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"3072407816"}]},"enumeration_date":"2005-09-26","last_updated":"2023-04-13","_meta":{"source":"NPPES","snapshot_date":"2023-04-13","doc_url":"https://findmynpi.com/api"}}