{"npi":"1982004040","type":"NPI-1","status":"active","name":{"display":"Kristen Douglass PA-C","other":[],"first":"KRISTEN","last":"DOUGLASS","middle":"LEIGH","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":false,"state":"PA","license":"OA003416"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"PA","license":"MA057102"}]},"addresses":[{"purpose":"LOCATION","street_1":"120 HAMM DR","city":"LEWISBURG","state":"PA","postal_code":"178377496","country_code":"US","phone":"5705229430"},{"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":"MA057102"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141013001406","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"PA","pac_id":"1850511908"}]},"enumeration_date":"2014-08-26","last_updated":"2020-12-21","_meta":{"source":"NPPES","snapshot_date":"2020-12-21","doc_url":"https://findmynpi.com/api"}}