{"npi":"1013984749","type":"NPI-1","status":"active","name":{"display":"Colleen Masternick CRNA","other":[],"first":"COLLEEN","last":"MASTERNICK","middle":"T","credential":"CRNA"},"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":"OH","license":"RN-165483"}]},"addresses":[{"purpose":"LOCATION","street_1":"8135 MARKET ST","city":"YOUNGSTOWN","state":"OH","postal_code":"445126244","country_code":"US","phone":"3307580900","fax":"3307582790"},{"purpose":"MAILING","street_1":"4135 BOARDMAN CANFIELD RD","city":"CANFIELD","state":"OH","postal_code":"444069803","country_code":"US","street_2":"SUITE 101","phone":"3302865330","fax":"3302865396"}],"license":{"state":"OH","number":"RN-165483"},"identifiers":[{"type_code":"01","label":"Other","value":"000000644312","state":"OH","issuer":"ANTHEM BCBS"},{"type_code":"05","label":"Medicaid","value":"0770205","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"8246361","state":"OH","issuer":"MEDICARE PTAN"},{"type_code":"01","label":"Other","value":"11932484","state":null,"issuer":"CAQH"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040720001151","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"OH","pac_id":"0840270070"}]},"enumeration_date":"2006-03-01","last_updated":"2019-04-10","_meta":{"source":"NPPES","snapshot_date":"2019-04-10","doc_url":"https://findmynpi.com/api"}}