{"npi":"1821529520","type":"NPI-1","status":"active","name":{"display":"Melissa Gibbs PA-C","other":[{"code":"1","type":"Formerly known as","value":"LOCKARD, MELISSA"}],"first":"MELISSA","last":"GIBBS","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":"MO","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1500 N OAKLAND AVE","city":"BOLIVAR","state":"MO","postal_code":"656133011","country_code":"US","phone":"4173219255"},{"purpose":"MAILING","street_1":"19027 S 1900 RD","city":"NEVADA","state":"MO","postal_code":"647725315","country_code":"US","phone":"4173219255"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170425002079","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MO","pac_id":"5597042796"}]},"enumeration_date":"2017-03-23","last_updated":"2017-03-23","_meta":{"source":"NPPES","snapshot_date":"2017-03-23","doc_url":"https://findmynpi.com/api"}}