{"npi":"1144355488","type":"NPI-1","status":"active","name":{"display":"Ms. Wanda Crawford Ms Ccca","other":[{"code":"1","type":"Formerly known as","value":"KLEVGARD, WANDA KAY"}],"first":"WANDA","last":"CRAWFORD","middle":"KAY","credential":"MS CCCA"},"specialty":{"primary_taxonomy":"231H00000X","primary_taxonomy_description":"Audiologist","slug":"audiologist","schema_org_specialty":null,"all":[{"code":"231H00000X","description":"Audiologist","primary":false,"state":"WI","license":"307156"},{"code":"231H00000X","description":"Audiologist","primary":false,"state":"MN","license":"7961"},{"code":"231H00000X","description":"Audiologist","primary":true,"state":"NC","license":"14535"}]},"addresses":[{"purpose":"LOCATION","street_1":"1727 BREVARD RD","city":"HENDERSONVILLE","state":"NC","postal_code":"287913259","country_code":"US","phone":"8286968272","fax":"8286968790"},{"purpose":"MAILING","street_1":"411 STAGELINE RD # 290","city":"HUDSON","state":"WI","postal_code":"540167848","country_code":"US","phone":"7155316710","fax":"6518887820"}],"license":{"state":"NC","number":"14535"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1144355488","state":"MN","issuer":null},{"type_code":"05","label":"Medicaid","value":"41148500","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20211012000633","type_code":"14-64","type_desc":"PRACTITIONER - QUALIFIED AUDIOLOGIST","state":"NC","pac_id":"7416031687"}]},"enumeration_date":"2007-02-23","last_updated":"2021-09-09","_meta":{"source":"NPPES","snapshot_date":"2021-09-09","doc_url":"https://findmynpi.com/api"}}