{"npi":"1669077152","type":"NPI-1","status":"active","name":{"display":"Michelle Detka","other":[],"first":"MICHELLE","last":"DETKA","middle":"ANNA"},"specialty":{"primary_taxonomy":"390200000X","primary_taxonomy_description":"Student in an Organized Health Care Education/Training Program","slug":"student-in-an-organized-health-care-education-training-program","schema_org_specialty":null,"all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":true,"state":"AR","license":"PA-1450"}]},"addresses":[{"purpose":"LOCATION","street_1":"2601 GENE GEORGE BLVD","city":"SPRINGDALE","state":"AR","postal_code":"727620845","country_code":"US","phone":"4797256800","fax":"4797256582"},{"purpose":"MAILING","street_1":"2601 GENE GEORGE BLVD","city":"SPRINGDALE","state":"AR","postal_code":"727620845","country_code":"US","phone":"4797256800","fax":"4797256582"}],"license":{"state":"AR","number":"PA-1450"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220915003360","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"3072998756"},{"enrlmt_id":"I20240416004249","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"HI","pac_id":"3072998756"},{"enrlmt_id":"I20260127004325","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"AR","pac_id":"3072998756"}]},"enumeration_date":"2020-12-02","last_updated":"2026-05-06","_meta":{"source":"NPPES","snapshot_date":"2026-05-06","doc_url":"https://findmynpi.com/api"}}