{"npi":"1215475967","type":"NPI-1","status":"active","name":{"display":"Bethany Flick","other":[],"first":"BETHANY","last":"FLICK"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"MI","license":"4704272588"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"MI","license":"117346"}]},"addresses":[{"purpose":"LOCATION","street_1":"2431 E HAGERT ST","city":"PHILADELPHIA","state":"PA","postal_code":"191253047","country_code":"US","phone":"2315576598"},{"purpose":"MAILING","street_1":"6913 WESTSHIRE DR","city":"NORTON SHORES","state":"MI","postal_code":"49444","country_code":"US"}],"license":{"state":"MI","number":"117346"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171010000753","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"MI","pac_id":"3375818867"}]},"enumeration_date":"2017-02-02","last_updated":"2017-08-23","_meta":{"source":"NPPES","snapshot_date":"2017-08-23","doc_url":"https://findmynpi.com/api"}}