{"npi":"1902889629","type":"NPI-1","status":"active","name":{"display":"Mrs. Lisa Mattei Pac","other":[{"code":"1","type":"Formerly known as","value":"YAGIELLO, LISA M"}],"first":"LISA","last":"MATTEI","middle":"M","credential":"PAC"},"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":"PA","license":"OA000886"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"PA","license":"AO000886"}]},"addresses":[{"purpose":"LOCATION","street_1":"1155 E MOUNTAIN BLVD","city":"WILKES BARRE","state":"PA","postal_code":"187027906","country_code":"US","phone":"5708085135","fax":"5708085136"},{"purpose":"MAILING","street_1":"100 N ACADEMY AVE","city":"DANVILLE","state":"PA","postal_code":"178224903","country_code":"US","phone":"5702716144","fax":"5702716578"}],"license":{"state":"PA","number":"OA000886"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041208000381","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"PA","pac_id":"9931165289"}]},"enumeration_date":"2005-11-28","last_updated":"2020-11-11","_meta":{"source":"NPPES","snapshot_date":"2020-11-11","doc_url":"https://findmynpi.com/api"}}