{"npi":"1023068269","type":"NPI-1","status":"active","name":{"display":"Nicole Borem Schickel CRNA","other":[],"first":"NICOLE","last":"BOREM SCHICKEL","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":"IN","license":"28141071"}]},"addresses":[{"purpose":"LOCATION","street_1":"5734 COVENTRY LN","city":"FORT WAYNE","state":"IN","postal_code":"468047141","country_code":"US","phone":"2604367875"},{"purpose":"MAILING","street_1":"5734 COVENTRY LN","city":"FORT WAYNE","state":"IN","postal_code":"468047141","country_code":"US","phone":"2604367875"}],"license":{"state":"IN","number":"28141071"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20060103000189","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"IN","pac_id":"8426070616"}]},"enumeration_date":"2006-05-10","last_updated":"2018-03-17","_meta":{"source":"NPPES","snapshot_date":"2018-03-17","doc_url":"https://findmynpi.com/api"}}