{"npi":"1295073781","type":"NPI-1","status":"active","name":{"display":"Justin Vermeulen CRNA","other":[],"first":"JUSTIN","last":"VERMEULEN","middle":"M","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":"KY","license":"3016642"}]},"addresses":[{"purpose":"LOCATION","street_1":"8212 SUMMA AVE","city":"BATON ROUGE","state":"LA","postal_code":"708093421","country_code":"US","phone":"2257694403"},{"purpose":"MAILING","street_1":"PO BOX 776351","city":"CHICAGO","state":"IL","postal_code":"606776351","country_code":"US","phone":"5025889490","fax":"5022725116"}],"license":{"state":"KY","number":"3016642"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"300060135","state":"IN","issuer":null},{"type_code":"05","label":"Medicaid","value":"7100788650","state":"KY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171206002607","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"VA","pac_id":"7416192158"},{"enrlmt_id":"I20211123003107","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"KY","pac_id":"7416192158"},{"enrlmt_id":"I20220330001853","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"IN","pac_id":"7416192158"}]},"enumeration_date":"2013-01-18","last_updated":"2025-10-13","_meta":{"source":"NPPES","snapshot_date":"2025-10-13","doc_url":"https://findmynpi.com/api"}}