{"npi":"1760083059","type":"NPI-1","status":"active","name":{"display":"Amanda Green PA-C","other":[],"first":"AMANDA","last":"GREEN","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":"NC","license":"0010-15310"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"MN","license":"14006"}]},"addresses":[{"purpose":"LOCATION","street_1":"341 WHITEVILLE RD NW","city":"SHALLOTTE","state":"NC","postal_code":"284704507","country_code":"US","phone":"8779355255"},{"purpose":"MAILING","street_1":"30 RAILROAD AVE","city":"ALBANY","state":"MN","postal_code":"563079379","country_code":"US","phone":"3208452157"}],"license":{"state":"NC","number":"0010-15310"},"identifiers":[{"type_code":"01","label":"Other","value":"14006","state":"MN","issuer":"MEDICAL LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220408002096","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MN","pac_id":"6204222771"},{"enrlmt_id":"I20260102002000","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NC","pac_id":"6204222771"}]},"enumeration_date":"2020-11-04","last_updated":"2025-11-17","_meta":{"source":"NPPES","snapshot_date":"2025-11-17","doc_url":"https://findmynpi.com/api"}}