{"npi":"1275216822","type":"NPI-1","status":"active","name":{"display":"Justin Woods CRNA","other":[],"first":"JUSTIN","last":"WOODS","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":"TN","license":"36578"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"KY","license":"4005360"}]},"addresses":[{"purpose":"LOCATION","street_1":"2501 KENTUCKY AVE","city":"PADUCAH","state":"KY","postal_code":"420033813","country_code":"US","phone":"2705752100"},{"purpose":"MAILING","street_1":"201 BRENNA DR","city":"PADUCAH","state":"KY","postal_code":"420019790","country_code":"US","phone":"7314148263"}],"license":{"state":"KY","number":"4005360"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231004001930","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"KY","pac_id":"5597110981"},{"enrlmt_id":"I20241220000381","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"TN","pac_id":"5597110981"}]},"enumeration_date":"2023-08-10","last_updated":"2024-11-13","_meta":{"source":"NPPES","snapshot_date":"2024-11-13","doc_url":"https://findmynpi.com/api"}}