{"npi":"1124772272","type":"NPI-1","status":"active","name":{"display":"Logan Forgey","other":[],"first":"LOGAN","last":"FORGEY","middle":"ADAM"},"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":"0001342729"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"VA","license":"0024191620"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":false,"state":"FL","license":"RN9424548"}]},"addresses":[{"purpose":"LOCATION","street_1":"4202 E FOWLER AVE","city":"TAMPA","state":"FL","postal_code":"336208000","country_code":"US","phone":"8139742011"},{"purpose":"MAILING","street_1":"70 DAVIS BLVD APT 2","city":"TAMPA","state":"FL","postal_code":"336063418","country_code":"US","phone":"3527279087"}],"license":{"state":"VA","number":"0024191620"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230802000509","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"MD","pac_id":"6002277415"},{"enrlmt_id":"I20230803000678","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"DC","pac_id":"6002277415"},{"enrlmt_id":"I20260130002304","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"VA","pac_id":"6002277415"}]},"enumeration_date":"2022-02-08","last_updated":"2026-04-07","_meta":{"source":"NPPES","snapshot_date":"2026-04-07","doc_url":"https://findmynpi.com/api"}}