{"npi":"1154098671","type":"NPI-1","status":"active","name":{"display":"Keller Phalen CRNA","other":[],"first":"KELLER","last":"PHALEN","credential":"CRNA"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"163WC0200X","description":"Critical Care Medicine Registered Nurse","primary":false,"state":"TN","license":"0000242014"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"TN","license":"33193"}]},"addresses":[{"purpose":"LOCATION","street_1":"315 HOSPITAL DR","city":"MADISON","state":"TN","postal_code":"371155030","country_code":"US","phone":"6157327671"},{"purpose":"MAILING","street_1":"1201 CHURCH ST APT 570","city":"NASHVILLE","state":"TN","postal_code":"372033687","country_code":"US","phone":"2197768786"}],"license":{"state":"TN","number":"33193"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230316001129","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"TN","pac_id":"2668846502"}]},"enumeration_date":"2021-08-23","last_updated":"2023-10-12","_meta":{"source":"NPPES","snapshot_date":"2023-10-12","doc_url":"https://findmynpi.com/api"}}