{"npi":"1053663773","type":"NPI-1","status":"active","name":{"display":"Lisa Verbosh CRNA","other":[{"code":"1","type":"Formerly known as","value":"ZMIEJKO, LISA"}],"first":"LISA","last":"VERBOSH","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":"PA","license":"91022"}]},"addresses":[{"purpose":"LOCATION","street_1":"1245 S CEDAR CREST BLVD STE 301","city":"ALLENTOWN","state":"PA","postal_code":"181036258","country_code":"US","phone":"6104028896","fax":"6104029029"},{"purpose":"MAILING","street_1":"1245 S CEDAR CREST BLVD STE 301","city":"ALLENTOWN","state":"PA","postal_code":"181036258","country_code":"US","phone":"6104028896","fax":"6104029029"}],"license":{"state":"PA","number":"91022"},"identifiers":[{"type_code":"01","label":"Other","value":"1053663773","state":"PA","issuer":"GEISINGER"},{"type_code":"01","label":"Other","value":"1613617","state":"PA","issuer":"GATEWAY"},{"type_code":"01","label":"Other","value":"2745894","state":"PA","issuer":"FIRST PRIORITY"},{"type_code":"01","label":"Other","value":"9177918","state":"PA","issuer":"AETNA"},{"type_code":"05","label":"Medicaid","value":"1027813210001","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"1053663773","state":"PA","issuer":"HIGHMARK"},{"type_code":"01","label":"Other","value":"12447550","state":"PA","issuer":"CAQH"},{"type_code":"01","label":"Other","value":"50111778","state":"PA","issuer":"CAPITAL ADVANTAGE"},{"type_code":"01","label":"Other","value":"3888599000","state":"PA","issuer":"IND. BLUE CROSS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20121121000154","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"PA","pac_id":"9537310560"}]},"enumeration_date":"2012-10-04","last_updated":"2015-04-07","_meta":{"source":"NPPES","snapshot_date":"2015-04-07","doc_url":"https://findmynpi.com/api"}}