{"npi":"1003218496","type":"NPI-1","status":"active","name":{"display":"Kyle Krupa","other":[],"first":"KYLE","last":"KRUPA"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"MI","license":"4704276038"}]},"addresses":[{"purpose":"LOCATION","street_1":"2799 W GRAND BLVD","city":"DETROIT","state":"MI","postal_code":"482022608","country_code":"US","phone":"3139162600"},{"purpose":"MAILING","street_1":"1 FORD PL STE 3A","city":"DETROIT","state":"MI","postal_code":"482023450","country_code":"US","phone":"3138744806"}],"license":{"state":"MI","number":"4704276038"},"identifiers":[{"type_code":"01","label":"Other","value":"4704276038","state":"MI","issuer":"LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141014000214","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"MI","pac_id":"0749400828"}]},"enumeration_date":"2014-09-17","last_updated":"2024-01-29","_meta":{"source":"NPPES","snapshot_date":"2024-01-29","doc_url":"https://findmynpi.com/api"}}