{"npi":"1871676874","type":"NPI-1","status":"active","name":{"display":"Jackie Shorter Pac","other":[],"first":"JACKIE","last":"SHORTER","middle":"D","credential":"PAC"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"WV","license":"299"}]},"addresses":[{"purpose":"LOCATION","street_1":"1650 MAIN STREET","city":"PINEVILLE","state":"WV","postal_code":"24874","country_code":"US","phone":"3047326735","fax":"3047329218"},{"purpose":"MAILING","street_1":"PO BOX 1650","city":"PINEVILLE","state":"WV","postal_code":"24874","country_code":"US","street_2":"FAMILY HEALTHCARE ASSOC INC","phone":"3047326735","fax":"3047329218"}],"license":{"state":"WV","number":"299"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3810000497","state":"WV","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100208000473","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WV","pac_id":"8022151430"}]},"enumeration_date":"2006-10-23","last_updated":"2010-02-12","_meta":{"source":"NPPES","snapshot_date":"2010-02-12","doc_url":"https://findmynpi.com/api"}}