{"npi":"1831787647","type":"NPI-1","status":"active","name":{"display":"Victoria Lillis PA-C","other":[{"code":"1","type":"Formerly known as","value":"LILLIS, VICTORIA A"}],"first":"VICTORIA","last":"LILLIS","middle":"A","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":"VT","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"186 MEDICAL VILLAGE DR","city":"NEWPORT","state":"VT","postal_code":"058558537","country_code":"US","phone":"8023343520"},{"purpose":"MAILING","street_1":"189 PROUTY DR","city":"NEWPORT","state":"VT","postal_code":"058559820","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210423001817","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"VT","pac_id":"1052729449"}]},"enumeration_date":"2021-01-07","last_updated":"2024-09-18","_meta":{"source":"NPPES","snapshot_date":"2024-09-18","doc_url":"https://findmynpi.com/api"}}