{"npi":"1790767705","type":"NPI-1","status":"active","name":{"display":"Mrs. Mary Susan Tolbert PA-C","other":[{"code":"1","type":"Formerly known as","value":"SHAW, MARY SUSAN"}],"first":"MARY SUSAN","last":"TOLBERT","middle":"SHAW","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":"TN","license":"PA0000001709"}]},"addresses":[{"purpose":"LOCATION","street_1":"BUILDING C-1722","city":"FORT BRAGG","state":"NC","postal_code":"283100001","country_code":"US","street_2":"TAGATAY AND GRUBER RD.","phone":"9109078282","fax":"9109079360"},{"purpose":"MAILING","street_1":"1511 DONELSON PKWY","city":"DOVER","state":"TN","postal_code":"370583749","country_code":"US","street_2":"WOMACK ARMY MEDICAL CENTER","phone":"9109078922","fax":"9109076069"}],"license":{"state":"TN","number":"PA0000001709"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"7044670","state":"WA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-11-16","last_updated":"2016-01-25","_meta":{"source":"NPPES","snapshot_date":"2016-01-25","doc_url":"https://findmynpi.com/api"}}