{"npi":"1972151892","type":"NPI-1","status":"active","name":{"display":"Samuel Warren PA-C, Msc","other":[],"first":"SAMUEL","last":"WARREN","credential":"PA-C, MSC"},"specialty":{"primary_taxonomy":"390200000X","primary_taxonomy_description":"Student in an Organized Health Care Education/Training Program","slug":"student-in-an-organized-health-care-education-training-program","schema_org_specialty":null,"all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2000 WASHINGTON ST, BLUE BUILDING SUITE 201","city":"NEWTON","state":"MA","postal_code":"02462","country_code":"US","phone":"6179654263"},{"purpose":"MAILING","street_1":"2000 WASHINGTON STREET, SUITE 201 (BLUE BLDG.)","city":"NEWTON","state":"MA","postal_code":"02462","country_code":"US","phone":"6179654263","fax":"6179280597"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200424002517","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MA","pac_id":"6709216138"}]},"enumeration_date":"2019-09-04","last_updated":"2019-09-04","_meta":{"source":"NPPES","snapshot_date":"2019-09-04","doc_url":"https://findmynpi.com/api"}}