{"npi":"1104334804","type":"NPI-1","status":"active","name":{"display":"Shelby Johnson","other":[],"first":"SHELBY","last":"JOHNSON","middle":"MARIE"},"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":"NE","license":"80348"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"NE","license":"120522"}]},"addresses":[{"purpose":"LOCATION","street_1":"2000 Q ST STE 500","city":"LINCOLN","state":"NE","postal_code":"685033610","country_code":"US","phone":"4024844940"},{"purpose":"MAILING","street_1":"11284 BAUMAN AVE","city":"OMAHA","state":"NE","postal_code":"681646807","country_code":"US"}],"license":{"state":"NE","number":"120522"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180418002296","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"NE","pac_id":"4587927819"},{"enrlmt_id":"I20210608000171","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"IA","pac_id":"4587927819"}]},"enumeration_date":"2018-01-16","last_updated":"2018-03-26","_meta":{"source":"NPPES","snapshot_date":"2018-03-26","doc_url":"https://findmynpi.com/api"}}