{"npi":"1972201036","type":"NPI-1","status":"active","name":{"display":"Allyson Matthesen PA-C","other":[],"first":"ALLYSON","last":"MATTHESEN","middle":"NICOLE","credential":"PA-C"},"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":"MO","license":"2023001731"}]},"addresses":[{"purpose":"LOCATION","street_1":"1125 MADISON ST","city":"JEFFERSON CITY","state":"MO","postal_code":"651015227","country_code":"US","phone":"5736325000","fax":"5736325876"},{"purpose":"MAILING","street_1":"PO BOX 843966","city":"KANSAS CITY","state":"MO","postal_code":"641843966","country_code":"US","phone":"5738843300","fax":"5738840943"}],"license":{"state":"MO","number":"2023001731"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"220129220","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230816003714","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MO","pac_id":"7719349182"}]},"enumeration_date":"2023-02-20","last_updated":"2024-01-30","_meta":{"source":"NPPES","snapshot_date":"2024-01-30","doc_url":"https://findmynpi.com/api"}}