{"npi":"1992755714","type":"NPI-1","status":"active","name":{"display":"Mrs. Kimberly Ifill PA-C","other":[{"code":"1","type":"Formerly known as","value":"ESCHBACH, KIMBERLY ANNE"}],"first":"KIMBERLY","last":"IFILL","middle":"ANNE","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"FL","license":"PA9102435"}]},"addresses":[{"purpose":"LOCATION","street_1":"1309 N. FLASLER DR.","city":"WEST PALM BEACH","state":"FL","postal_code":"33401","country_code":"US","phone":"7862180963","fax":"5612539175"},{"purpose":"MAILING","street_1":"110 S K ST #3","city":"LAKE WORTH BEACH","state":"FL","postal_code":"33460","country_code":"US","phone":"7862180963","fax":"5612539175"}],"license":{"state":"FL","number":"PA9102435"},"identifiers":[{"type_code":"01","label":"Other","value":"PA9102435","state":"FL","issuer":"LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20051121000967","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"2163441049"}]},"enumeration_date":"2006-05-11","last_updated":"2024-07-29","_meta":{"source":"NPPES","snapshot_date":"2024-07-29","doc_url":"https://findmynpi.com/api"}}