{"npi":"1154846707","type":"NPI-1","status":"active","name":{"display":"Mary Cooper CRNA","other":[],"first":"MARY","last":"COOPER","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":false,"state":"NC","license":"280593"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"IL","license":"209024241"}]},"addresses":[{"purpose":"LOCATION","street_1":"3301 BROADWAY ST","city":"QUINCY","state":"IL","postal_code":"623013713","country_code":"US","phone":"2172774090","fax":"2172776778"},{"purpose":"MAILING","street_1":"3301 BROADWAY ST","city":"QUINCY","state":"IL","postal_code":"623013713","country_code":"US","phone":"2172774090","fax":"2172776778"}],"license":{"state":"IL","number":"209024241"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20211110000509","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"IL","pac_id":"6103192745"}]},"enumeration_date":"2017-08-04","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}