{"npi":"1154308013","type":"NPI-1","status":"active","name":{"display":"Mr. Mark Thomason CRNA","other":[],"first":"MARK","last":"THOMASON","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":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"TN","license":"9191"}]},"addresses":[{"purpose":"LOCATION","street_1":"100 W 4TH ST","city":"COOKEVILLE","state":"TN","postal_code":"385012448","country_code":"US","street_2":"SUITE 310","phone":"9315287877","fax":"9315263261"},{"purpose":"MAILING","street_1":"100 W 4TH ST","city":"COOKEVILLE","state":"TN","postal_code":"385012448","country_code":"US","street_2":"SUITE 310","phone":"9315287877","fax":"9315263261"}],"license":{"state":"TN","number":"9191"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"74392937","state":"KY","issuer":null},{"type_code":"01","label":"Other","value":"3050592","state":"TN","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"430041161","state":"TN","issuer":"MEDICARE RAILROAD"},{"type_code":"05","label":"Medicaid","value":"3608292","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110120000955","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"TN","pac_id":"4385823558"}]},"enumeration_date":"2005-12-30","last_updated":"2010-07-13","_meta":{"source":"NPPES","snapshot_date":"2010-07-13","doc_url":"https://findmynpi.com/api"}}