{"npi":"1679056147","type":"NPI-1","status":"active","name":{"display":"Larissa Wiley PA-C","other":[{"code":"1","type":"Formerly known as","value":"DOHN, LARISSA MARIE"}],"first":"LARISSA","last":"WILEY","middle":"DOHN","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"AZ","license":"7140"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"AZ","license":"7140"}]},"addresses":[{"purpose":"LOCATION","street_1":"8705 E MCDOWELL RD","city":"SCOTTSDALE","state":"AZ","postal_code":"852573909","country_code":"US","phone":"4808824545","fax":"4809466997"},{"purpose":"MAILING","street_1":"7500 N DREAMY DRAW DR STE 145","city":"PHOENIX","state":"AZ","postal_code":"850204668","country_code":"US","phone":"4808824545","fax":"4808825814"}],"license":{"state":"AZ","number":"7140"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"435328","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20181115001568","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"AZ","pac_id":"3274887955"},{"enrlmt_id":"I20240710004041","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"SD","pac_id":"3274887955"}]},"enumeration_date":"2018-09-11","last_updated":"2023-03-14","_meta":{"source":"NPPES","snapshot_date":"2023-03-14","doc_url":"https://findmynpi.com/api"}}