{"result_count":1,"results":[{"addresses":[{"address_1":"560 GAGE BLVD","address_2":"SUITE 203","address_purpose":"MAILING","address_type":"DOM","city":"RICHLAND","country_code":"US","country_name":"United States","fax_number":"509-942-2268","postal_code":"993528650","state":"WA","telephone_number":"509-942-3627"},{"address_1":"4804 W CLEARWATER AVE","address_purpose":"LOCATION","address_type":"DOM","city":"KENNEWICK","country_code":"US","country_name":"United States","fax_number":"509-222-1289","postal_code":"993362119","state":"WA","telephone_number":"509-942-2355"}],"basic":{"credential":"PA-C","enumeration_date":"2005-08-22","first_name":"VICKIE","last_name":"BOLL","last_updated":"2017-01-04","name_prefix":"--","name_suffix":"--","sex":"F","sole_proprietor":"NO","status":"A"},"created_epoch":"1124724901000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"000010152179","issuer":"BLUE SHIELD-DOWNEY","state":"ID"},{"code":"01","desc":"Other (non-Medicare)","identifier":"000010152180","issuer":"BLUE SHIELD-LAVA","state":"ID"},{"code":"01","desc":"Other (non-Medicare)","identifier":"000010152181","issuer":"BLUE SHIELD-POCATELLO","state":"ID"},{"code":"01","desc":"Other (non-Medicare)","identifier":"000010152182","issuer":"BLUE SHIELD-AM FALLS","state":"ID"},{"code":"01","desc":"Other (non-Medicare)","identifier":"000010161109","issuer":"BLUE SHIELD MCCAMMON","state":"ID"},{"code":"05","desc":"MEDICAID","identifier":"1396737706","issuer":null,"state":"NV"},{"code":"05","desc":"MEDICAID","identifier":"2054118","issuer":null,"state":"WA"},{"code":"05","desc":"MEDICAID","identifier":"807226500","issuer":null,"state":"ID"},{"code":"01","desc":"Other (non-Medicare)","identifier":"HB721Z","issuer":"Medicare PTAN","state":"NV"},{"code":"01","desc":"Other (non-Medicare)","identifier":"PAE62","issuer":"BLUE CROSS-MCCAMMON","state":"ID"},{"code":"01","desc":"Other (non-Medicare)","identifier":"PAND8","issuer":"BLUE CROSS-AM FALLS","state":"ID"},{"code":"01","desc":"Other (non-Medicare)","identifier":"PANE5","issuer":"BLUE CROSS-DOWNEY","state":"ID"},{"code":"01","desc":"Other (non-Medicare)","identifier":"PANF3","issuer":"BLUE CROSS-ABERDEEN","state":"ID"},{"code":"01","desc":"Other (non-Medicare)","identifier":"PANG1","issuer":"BLUE CROSS-LAVA","state":"ID"},{"code":"01","desc":"Other (non-Medicare)","identifier":"PANH9","issuer":"BLUE CROSS-POCATELLO","state":"ID"}],"last_updated_epoch":"1483567319000","number":"1396737706","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"363A00000X","desc":"Physician Assistant","license":"PA338","primary":false,"state":"ID","taxonomy_group":""},{"code":"363A00000X","desc":"Physician Assistant","license":"PA1392","primary":false,"state":"NV","taxonomy_group":""},{"code":"363A00000X","desc":"Physician Assistant","license":"PA60168389","primary":true,"state":"WA","taxonomy_group":""}]}]}