{"npi":"1902138217","type":"NPI-1","status":"active","name":{"display":"Ms. Rekha Nidadavolu Physician Assistant","other":[{"code":"1","type":"Formerly known as","value":"PINJALA, REKHA"}],"first":"REKHA","last":"NIDADAVOLU","credential":"PHYSICIAN ASSISTANT"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"183500000X","description":"Pharmacist","primary":false,"state":"FL","license":"PS44664"},{"code":"183500000X","description":"Pharmacist","primary":false,"state":"MA","license":"24667"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"FL","license":"PA9111839"}]},"addresses":[{"purpose":"LOCATION","street_1":"4745 OLD CANOE CREEK RD","city":"SAINT CLOUD","state":"FL","postal_code":"347691400","country_code":"US","phone":"3059059316"},{"purpose":"MAILING","street_1":"4745 OLD CANOE CREEK RD","city":"SAINT CLOUD","state":"FL","postal_code":"347691400","country_code":"US","phone":"3059059316"}],"license":{"state":"FL","number":"PA9111839"},"identifiers":[{"type_code":"01","label":"Other","value":"24667","state":"MA","issuer":"PHARMACIST LICENSE"},{"type_code":"01","label":"Other","value":"PS44664","state":"FL","issuer":"FLORIDA BOARD OF PHARMACY"},{"type_code":"01","label":"Other","value":"PA9111839","state":"FL","issuer":"FLORIDA PHYSICIAN ASSISTANT BOARD"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-02-11","last_updated":"2020-01-30","_meta":{"source":"NPPES","snapshot_date":"2020-01-30","doc_url":"https://findmynpi.com/api"}}