{"npi":"1962740852","type":"NPI-1","status":"active","name":{"display":"Kristyn Fara PA","other":[{"code":"1","type":"Formerly known as","value":"GENRICH, KRISTYN MARIE"}],"first":"KRISTYN","last":"FARA","middle":"MARIE","credential":"PA"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"IL","license":"385003266"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"IL","license":"085004542"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"IL","license":"085004542"}]},"addresses":[{"purpose":"LOCATION","street_1":"1051 W RAND RD STE 110","city":"ARLINGTON HEIGHTS","state":"IL","postal_code":"600042315","country_code":"US","phone":"8476189292","fax":"8476189294"},{"purpose":"MAILING","street_1":"1051 W RAND RD STE 110","city":"ARLINGTON HEIGHTS","state":"IL","postal_code":"600042315","country_code":"US","phone":"8476189292","fax":"8476189294"}],"license":{"state":"IL","number":"085004542"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20131122001682","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IL","pac_id":"9133355084"}]},"enumeration_date":"2013-01-28","last_updated":"2022-03-16","_meta":{"source":"NPPES","snapshot_date":"2022-03-16","doc_url":"https://findmynpi.com/api"}}