{"npi":"1780879924","type":"NPI-1","status":"active","name":{"display":"Alysa Crawford PA","other":[{"code":"1","type":"Formerly known as","value":"FOG, ALYSA M"}],"first":"ALYSA","last":"CRAWFORD","middle":"M","credential":"PA"},"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":"IN","license":null},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"IA","license":null},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":false,"state":"IA","license":"100240"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"IA","license":"100240"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 HAWKINS DR","city":"IOWA CITY","state":"IA","postal_code":"522421009","country_code":"US","phone":"3193562110","fax":"3193563392"},{"purpose":"MAILING","street_1":"200 HAWKINS DR","city":"IOWA CITY","state":"IA","postal_code":"522421009","country_code":"US","phone":"3193562110","fax":"3193563392"}],"license":{"state":"IA","number":"100240"},"identifiers":[{"type_code":"01","label":"Other","value":"P00685459","state":"IN","issuer":"RR MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220624000786","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IA","pac_id":"9931282662"}]},"enumeration_date":"2007-09-11","last_updated":"2022-07-12","_meta":{"source":"NPPES","snapshot_date":"2022-07-12","doc_url":"https://findmynpi.com/api"}}