{"npi":"1063989093","type":"NPI-1","status":"active","name":{"display":"Carmen Chan","other":[],"first":"CARMEN","last":"CHAN"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"FL","license":"RN9332061"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":false,"state":"FL","license":"APRN11000846"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"NJ","license":"26NJ15236600"}]},"addresses":[{"purpose":"LOCATION","street_1":"4300 ALTON RD","city":"MIAMI BEACH","state":"FL","postal_code":"331402948","country_code":"US","phone":"3056742345","fax":"3056749723"},{"purpose":"MAILING","street_1":"1230 W 54TH ST APT 124A","city":"HIALEAH","state":"FL","postal_code":"330123001","country_code":"US","phone":"3058011758"}],"license":{"state":"NJ","number":"26NJ15236600"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190410001046","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"FL","pac_id":"4486995958"},{"enrlmt_id":"I20250812001978","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NJ","pac_id":"4486995958"},{"enrlmt_id":"I20251029004284","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"NJ","pac_id":"4486995958"}]},"enumeration_date":"2018-10-29","last_updated":"2025-05-13","_meta":{"source":"NPPES","snapshot_date":"2025-05-13","doc_url":"https://findmynpi.com/api"}}