{"npi":"1013550383","type":"NPI-1","status":"active","name":{"display":"Nicholas Moore","other":[],"first":"NICHOLAS","last":"MOORE"},"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":false,"state":"CA","license":"NA95001207"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":false,"state":"NV","license":"834330"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"AZ","license":"246503"}]},"addresses":[{"purpose":"LOCATION","street_1":"1500 S MILL AVE","city":"TEMPE","state":"AZ","postal_code":"852816699","country_code":"US","phone":"4807845500"},{"purpose":"MAILING","street_1":"912 GRANGER FARM WAY","city":"LAS VEGAS","state":"NV","postal_code":"891458618","country_code":"US","phone":"8083874316"}],"license":{"state":"AZ","number":"246503"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210524002381","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"AZ","pac_id":"3173959921"}]},"enumeration_date":"2019-10-19","last_updated":"2021-10-15","_meta":{"source":"NPPES","snapshot_date":"2021-10-15","doc_url":"https://findmynpi.com/api"}}