{"npi":"1275142002","type":"NPI-1","status":"active","name":{"display":"Omonyemen Ebhomielen","other":[],"first":"OMONYEMEN","last":"EBHOMIELEN","middle":"IRENOSEN"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"163WC0200X","description":"Critical Care Medicine Registered Nurse","primary":false,"state":"NY","license":"635881"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"NY","license":"635881"}]},"addresses":[{"purpose":"LOCATION","street_1":"560 W 168TH ST","city":"NEW YORK","state":"NY","postal_code":"100323917","country_code":"US","phone":"2123054318"},{"purpose":"MAILING","street_1":"25630 CRAFT AVE","city":"ROSEDALE","state":"NY","postal_code":"114222700","country_code":"US","phone":"7183413383"}],"license":{"state":"NY","number":"635881"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20221117000888","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"NY","pac_id":"9537537832"}]},"enumeration_date":"2020-07-28","last_updated":"2022-10-24","_meta":{"source":"NPPES","snapshot_date":"2022-10-24","doc_url":"https://findmynpi.com/api"}}