{"npi":"1669071502","type":"NPI-1","status":"active","name":{"display":"Nichole Lavender PA-C","other":[],"first":"NICHOLE","last":"LAVENDER","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":false,"state":null,"license":null},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"WA","license":"61101345"}]},"addresses":[{"purpose":"LOCATION","street_1":"834 SHERIDAN ST STE B","city":"PORT TOWNSEND","state":"WA","postal_code":"983682443","country_code":"US","phone":"3603852200","fax":"3603443095"},{"purpose":"MAILING","street_1":"834 SHERIDAN ST","city":"PORT TOWNSEND","state":"WA","postal_code":"983682443","country_code":"US","phone":"3603852200"}],"license":{"state":"WA","number":"61101345"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2175485","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20201207001795","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WA","pac_id":"7911319439"}]},"enumeration_date":"2020-10-21","last_updated":"2023-02-03","_meta":{"source":"NPPES","snapshot_date":"2023-02-03","doc_url":"https://findmynpi.com/api"}}