{"npi":"1104814516","type":"NPI-1","status":"active","name":{"display":"Lance Grizzard CRNA","other":[],"first":"LANCE","last":"GRIZZARD","middle":"A","credential":"CRNA"},"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":"VA","license":"0001154508"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"VA","license":"0024166429"}]},"addresses":[{"purpose":"LOCATION","street_1":"8260 ATLEE RD","city":"MECHANICSVILLE","state":"VA","postal_code":"231161844","country_code":"US","phone":"8042886258","fax":"8042829921"},{"purpose":"MAILING","street_1":"3100 SPRING FOREST RD STE 130","city":"RALEIGH","state":"NC","postal_code":"276162880","country_code":"US","phone":"8882809533","fax":"9198739821"}],"license":{"state":"VA","number":"0024166429"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"010163188","state":"VA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050422000986","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"VA","pac_id":"0446298095"}]},"enumeration_date":"2005-10-10","last_updated":"2018-01-12","_meta":{"source":"NPPES","snapshot_date":"2018-01-12","doc_url":"https://findmynpi.com/api"}}