{"npi":"1285601377","type":"NPI-1","status":"active","name":{"display":"Stephanie Dupaul CRNA","other":[],"first":"STEPHANIE","last":"DUPAUL","middle":"L","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":"WI","license":"13203"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"MN","license":"R1417786"}]},"addresses":[{"purpose":"LOCATION","street_1":"640 JACKSON ST","city":"ST PAUL","state":"MN","postal_code":"551012502","country_code":"US","street_2":"MAIL STOP 11503P","phone":"6512543456","fax":"6512543048"},{"purpose":"MAILING","street_1":"8100 34TH AVE S","city":"BLOOMINGTON","state":"MN","postal_code":"554251672","country_code":"US","street_2":"21110Q","phone":"9528837961","fax":"9528835395"}],"license":{"state":"MN","number":"R1417786"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1285601377","state":"WI","issuer":null},{"type_code":"05","label":"Medicaid","value":"690951500","state":"MN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041216000343","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"MN","pac_id":"1850358359"},{"enrlmt_id":"I20221018000806","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"WI","pac_id":"1850358359"}]},"enumeration_date":"2006-03-07","last_updated":"2022-10-26","_meta":{"source":"NPPES","snapshot_date":"2022-10-26","doc_url":"https://findmynpi.com/api"}}