{"npi":"1063590107","type":"NPI-1","status":"active","name":{"display":"Blake Purcell CRNA","other":[],"first":"BLAKE","last":"PURCELL","middle":"G","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":"ID","license":"RNA52"}]},"addresses":[{"purpose":"LOCATION","street_1":"1485 PARKWAY DR","city":"BLACKFOOT","state":"ID","postal_code":"832211667","country_code":"US","phone":"2087855100"},{"purpose":"MAILING","street_1":"PO BOX 2193","city":"IDAHO FALLS","state":"ID","postal_code":"834032193","country_code":"US","phone":"2085528762"}],"license":{"state":"ID","number":"RNA52"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1063590107","state":"ID","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040929000692","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"ID","pac_id":"4183693872"}]},"enumeration_date":"2006-11-02","last_updated":"2017-09-19","_meta":{"source":"NPPES","snapshot_date":"2017-09-19","doc_url":"https://findmynpi.com/api"}}