{"npi":"1164464798","type":"NPI-1","status":"active","name":{"display":"Ms. Kathleen Boczar Crnp","other":[],"first":"KATHLEEN","last":"BOCZAR","credential":"CRNP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"PA","license":"SP000980B"}]},"addresses":[{"purpose":"LOCATION","street_1":"1900 N 9TH ST","city":"PHILADELPHIA","state":"PA","postal_code":"191221909","country_code":"US","street_2":"SUITE 104","phone":"2157656690","fax":"2157656694"},{"purpose":"MAILING","street_1":"1500 MARKET STREET","city":"PHILADELPHIA","state":"PA","postal_code":"191202100","country_code":"US","street_2":"LM 500 WEST TOWER","phone":"2159852595","fax":"2157656694"}],"license":{"state":"PA","number":"SP000980B"},"identifiers":[{"type_code":"01","label":"Other","value":"1487818","state":"PA","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"2268271000","state":"PA","issuer":"KEYSTONE HEALTH PLAN EAST"},{"type_code":"01","label":"Other","value":"1590263","state":"PA","issuer":"BLUE CROSS"},{"type_code":"05","label":"Medicaid","value":"0018132210001","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"16605","state":"PA","issuer":"BRAVO"},{"type_code":"01","label":"Other","value":"30027018","state":"PA","issuer":"KEYSTONE MERCY HEALTH PLAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080917000238","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"PA","pac_id":"4789751793"}]},"enumeration_date":"2006-06-11","last_updated":"2016-07-14","_meta":{"source":"NPPES","snapshot_date":"2016-07-14","doc_url":"https://findmynpi.com/api"}}