{"npi":"1306120779","type":"NPI-1","status":"active","name":{"display":"Mr. Kevin Hickman CRNA","other":[],"first":"KEVIN","last":"HICKMAN","middle":"IMMARRI","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":"PA","license":"RN810317"}]},"addresses":[{"purpose":"LOCATION","street_1":"1000 E MOUNTAIN DR","city":"WILKES BARRE","state":"PA","postal_code":"187110027","country_code":"US","phone":"5708087850","fax":"5708087855"},{"purpose":"MAILING","street_1":"100 N ACADEMY AVE","city":"DANVILLE","state":"PA","postal_code":"178224903","country_code":"US","phone":"5708087850","fax":"5708087855"}],"license":{"state":"PA","number":"RN810317"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20111004000450","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"NY","pac_id":"7315119955"},{"enrlmt_id":"I20130523000194","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"CA","pac_id":"7315119955"}]},"enumeration_date":"2011-10-04","last_updated":"2026-03-09","_meta":{"source":"NPPES","snapshot_date":"2026-03-09","doc_url":"https://findmynpi.com/api"}}