{"npi":"1730184375","type":"NPI-1","status":"active","name":{"display":"Courtney Petersen PA-C","other":[],"first":"COURTNEY","last":"PETERSEN","middle":"SLOCUM","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":"GA","license":"004199"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"MA","license":"2624"}]},"addresses":[{"purpose":"LOCATION","street_1":"750 WASHINGTON ST # 178","city":"BOSTON","state":"MA","postal_code":"021111526","country_code":"US","street_2":"TUFTS MEDICAL CENTER","phone":"6176368200","fax":"6176367587"},{"purpose":"MAILING","street_1":"57 E CONCORD ST","city":"BOSTON","state":"MA","postal_code":"021181996","country_code":"US","street_2":"APT 3","phone":"7705198108"}],"license":{"state":"MA","number":"2624"},"identifiers":[{"type_code":"01","label":"Other","value":"000867701","state":null,"issuer":"MEDICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-06-20","last_updated":"2016-01-14","_meta":{"source":"NPPES","snapshot_date":"2016-01-14","doc_url":"https://findmynpi.com/api"}}