{"npi":"1790740769","type":"NPI-1","status":"active","name":{"display":"Vicki Latham PA-C","other":[{"code":"1","type":"Formerly known as","value":"CAMPBELL, VICKI ANN"}],"first":"VICKI","last":"LATHAM","middle":"C","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":"OK","license":"OK725"}]},"addresses":[{"purpose":"LOCATION","street_1":"608 S HESTER ST","city":"STILLWATER","state":"OK","postal_code":"740744516","country_code":"US","phone":"4053778000","fax":"4053778040"},{"purpose":"MAILING","street_1":"608 S HESTER ST","city":"STILLWATER","state":"OK","postal_code":"740744516","country_code":"US","phone":"4053778000","fax":"4053778040"}],"license":{"state":"OK","number":"OK725"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200235260A","state":"OK","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20091102000266","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"OK","pac_id":"5890832323"}]},"enumeration_date":"2006-04-20","last_updated":"2009-11-05","_meta":{"source":"NPPES","snapshot_date":"2009-11-05","doc_url":"https://findmynpi.com/api"}}