{"npi":"1689743700","type":"NPI-1","status":"active","name":{"display":"Hillary Wilson Pac","other":[],"first":"HILLARY","last":"WILSON","middle":"GUTHRIE","credential":"PAC"},"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":"NV","license":"PA1535"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"ID","license":"PA-2217"}]},"addresses":[{"purpose":"LOCATION","street_1":"8971 W OVERLAND RD","city":"BOISE","state":"ID","postal_code":"837091651","country_code":"US","phone":"2083784288","fax":"2083784297"},{"purpose":"MAILING","street_1":"PO BOX 191050","city":"BOISE","state":"ID","postal_code":"837191050","country_code":"US","phone":"2089556500","fax":"2089556501"}],"license":{"state":"ID","number":"PA-2217"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1689743700","state":"NV","issuer":null},{"type_code":"01","label":"Other","value":"12428227","state":null,"issuer":"CAQH"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220602002563","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"ID","pac_id":"0244247815"}]},"enumeration_date":"2006-11-06","last_updated":"2025-02-10","_meta":{"source":"NPPES","snapshot_date":"2025-02-10","doc_url":"https://findmynpi.com/api"}}