{"npi":"1306192612","type":"NPI-1","status":"active","name":{"display":"Mrs. Laura Blanks CRNA","other":[{"code":"1","type":"Formerly known as","value":"WILDENBERG, LAURA S"}],"first":"LAURA","last":"BLANKS","middle":"S.","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":"MS","license":"900242"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":false,"state":"WI","license":"18260"}]},"addresses":[{"purpose":"LOCATION","street_1":"301 FISHER ST","city":"BILOXI","state":"MS","postal_code":"395342508","country_code":"US","phone":"2283766018"},{"purpose":"MAILING","street_1":"301 FISHER ST","city":"BILOXI","state":"MS","postal_code":"395342508","country_code":"US","phone":"2283766018"}],"license":{"state":"MS","number":"900242"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"04854078","state":"MS","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150804005432","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"MS","pac_id":"6507170578"},{"enrlmt_id":"I20250424002053","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"WI","pac_id":"6507170578"}]},"enumeration_date":"2012-07-24","last_updated":"2026-04-14","_meta":{"source":"NPPES","snapshot_date":"2026-04-14","doc_url":"https://findmynpi.com/api"}}