{"npi":"1679709463","type":"NPI-1","status":"active","name":{"display":"Ms. Lisa Boucher PA-C","other":[],"first":"LISA","last":"BOUCHER","middle":"MARIE","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":true,"state":"MI","license":"5601005490"}]},"addresses":[{"purpose":"LOCATION","street_1":"2333 BIDDLE AVE","city":"WYANDOTTE","state":"MI","postal_code":"481924668","country_code":"US","phone":"7342466000"},{"purpose":"MAILING","street_1":"1640 FORT ST","city":"TRENTON","state":"MI","postal_code":"481832040","country_code":"US","street_2":"SUITE D ATTNE DENISE","phone":"7343913057","fax":"7343913052"}],"license":{"state":"MI","number":"5601005490"},"identifiers":[{"type_code":"01","label":"Other","value":"0H28864","state":"MI","issuer":"BLUE CROSS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2009-06-07","last_updated":"2017-02-21","_meta":{"source":"NPPES","snapshot_date":"2017-02-21","doc_url":"https://findmynpi.com/api"}}