{"npi":"1073979746","type":"NPI-1","status":"active","name":{"display":"Jennifer Ketcham CRNA","other":[],"first":"JENNIFER","last":"KETCHAM","middle":"ANNE TENORIO","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":"GA","license":"RN177251"}]},"addresses":[{"purpose":"LOCATION","street_1":"1405 CLIFTON RD NE FL 3","city":"ATLANTA","state":"GA","postal_code":"303221060","country_code":"US","phone":"4047856670","fax":"4047851362"},{"purpose":"MAILING","street_1":"1405 CLIFTON RD NE FL 3","city":"ATLANTA","state":"GA","postal_code":"303221060","country_code":"US","phone":"4047856670","fax":"4047851362"}],"license":{"state":"GA","number":"RN177251"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160212000201","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"GA","pac_id":"4789988692"}]},"enumeration_date":"2016-01-11","last_updated":"2022-06-06","_meta":{"source":"NPPES","snapshot_date":"2022-06-06","doc_url":"https://findmynpi.com/api"}}