{"npi":"1841661824","type":"NPI-1","status":"active","name":{"display":"Jennifer Idiculla PA-C","other":[],"first":"JENNIFER","last":"IDICULLA","middle":"POETHKE","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":"MN","license":"1289"}]},"addresses":[{"purpose":"LOCATION","street_1":"4300 EDGEWOOD DR NE","city":"SAINT MICHAEL","state":"MN","postal_code":"553764588","country_code":"US","phone":"7637444000"},{"purpose":"MAILING","street_1":"2925 CHICAGO AVE","city":"MINNEAPOLIS","state":"MN","postal_code":"554071321","country_code":"US","phone":"6122629000"}],"license":{"state":"MN","number":"1289"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171101002339","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MN","pac_id":"8426358284"}]},"enumeration_date":"2015-10-15","last_updated":"2023-01-12","_meta":{"source":"NPPES","snapshot_date":"2023-01-12","doc_url":"https://findmynpi.com/api"}}