{"npi":"1174516132","type":"NPI-1","status":"active","name":{"display":"Mr. Andrew Jackson CRNA","other":[],"first":"ANDREW","last":"JACKSON","middle":"CRAIG","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":"NC","license":"085415"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 HOSPITAL AVE","city":"JEFFERSON","state":"NC","postal_code":"286409244","country_code":"US","phone":"3368460719"},{"purpose":"MAILING","street_1":"244 FALLS CREEK RD","city":"TODD","state":"NC","postal_code":"286849219","country_code":"US","phone":"3368772047","fax":"3368775545"}],"license":{"state":"NC","number":"085415"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8049903","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-08-25","last_updated":"2008-10-28","_meta":{"source":"NPPES","snapshot_date":"2008-10-28","doc_url":"https://findmynpi.com/api"}}