{"npi":"1982916888","type":"NPI-1","status":"active","name":{"display":"Mr. Jon Boettger P.A.","other":[],"first":"JON","last":"BOETTGER","middle":"P","credential":"P.A."},"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":"TX","license":"PA12179"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"FL","license":"PA9105512"}]},"addresses":[{"purpose":"LOCATION","street_1":"12902 USF MAGNOLIA DR","city":"TAMPA","state":"FL","postal_code":"336129416","country_code":"US","phone":"8137454673"},{"purpose":"MAILING","street_1":"PO BOX 198441","city":"ATLANTA","state":"GA","postal_code":"303848441","country_code":"US"}],"license":{"state":"FL","number":"PA9105512"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"391145503","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100816000861","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"8729112537"}]},"enumeration_date":"2010-07-08","last_updated":"2022-05-06","_meta":{"source":"NPPES","snapshot_date":"2022-05-06","doc_url":"https://findmynpi.com/api"}}