{"npi":"1831923101","type":"NPI-1","status":"active","name":{"display":"Lacy Goldstein PA-C","other":[{"code":"1","type":"Formerly known as","value":"GILLEY, LACY"}],"first":"LACY","last":"GOLDSTEIN","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":"KY","license":"TC001"}]},"addresses":[{"purpose":"LOCATION","street_1":"913 N DIXIE AVE","city":"ELIZABETHTOWN","state":"KY","postal_code":"427012503","country_code":"US","phone":"2707061212"},{"purpose":"MAILING","street_1":"913 N DIXIE AVE","city":"ELIZABETHTOWN","state":"KY","postal_code":"427012503","country_code":"US","phone":"2707061212"}],"license":{"state":"KY","number":"TC001"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241004003667","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"KY","pac_id":"6103357801"}]},"enumeration_date":"2024-08-29","last_updated":"2024-08-29","_meta":{"source":"NPPES","snapshot_date":"2024-08-29","doc_url":"https://findmynpi.com/api"}}