{"npi":"1669033973","type":"NPI-1","status":"active","name":{"display":"Shelby Subry PA-C","other":[],"first":"SHELBY","last":"SUBRY","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"OR","license":"PA216320"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"CO","license":"PA.0006160"}]},"addresses":[{"purpose":"LOCATION","street_1":"3303 S BOND AVE","city":"PORTLAND","state":"OR","postal_code":"972394501","country_code":"US","phone":"5034945058","fax":"5034943465"},{"purpose":"MAILING","street_1":"1400 SW 5TH AVE","city":"PORTLAND","state":"OR","postal_code":"972015537","country_code":"US","phone":"8666176855","fax":"5033468015"}],"license":{"state":"OR","number":"PA216320"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"500824302","state":"OR","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230823004431","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"OR","pac_id":"9638582208"}]},"enumeration_date":"2019-06-26","last_updated":"2025-11-12","_meta":{"source":"NPPES","snapshot_date":"2025-11-12","doc_url":"https://findmynpi.com/api"}}