{"npi":"1346387339","type":"NPI-1","status":"active","name":{"display":"Jimmy Kimball CRNA","other":[],"first":"JIMMY","last":"KIMBALL","middle":"RAY","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":"NC","license":"164911"}]},"addresses":[{"purpose":"LOCATION","street_1":"3000 NEW BERN AVE","city":"RALEIGH","state":"NC","postal_code":"276101231","country_code":"US","phone":"9193505645"},{"purpose":"MAILING","street_1":"PO BOX 18139","city":"RALEIGH","state":"NC","postal_code":"276198139","country_code":"US"}],"license":{"state":"NC","number":"164911"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8052459","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"P00293527","state":"NC","issuer":"RAILROAD-MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20060315000578","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"NC","pac_id":"5294742235"}]},"enumeration_date":"2007-01-31","last_updated":"2008-05-21","_meta":{"source":"NPPES","snapshot_date":"2008-05-21","doc_url":"https://findmynpi.com/api"}}