{"npi":"1366014359","type":"NPI-1","status":"active","name":{"display":"Mr. Ryan Carlisle RN","other":[],"first":"RYAN","last":"CARLISLE","credential":"RN"},"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":"FL","license":"APRN11024383"}]},"addresses":[{"purpose":"LOCATION","street_1":"1600 SW ARCHER RD","city":"GAINESVILLE","state":"FL","postal_code":"326103038","country_code":"US","phone":"3522738610","fax":"3522738612"},{"purpose":"MAILING","street_1":"PO BOX 100254","city":"GAINESVILLE","state":"FL","postal_code":"326100254","country_code":"US","phone":"3522738610","fax":"3522738612"}],"license":{"state":"FL","number":"APRN11024383"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"117054400","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230222001820","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"FL","pac_id":"6305219338"},{"enrlmt_id":"I20250506001926","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"NC","pac_id":"6305219338"}]},"enumeration_date":"2021-07-11","last_updated":"2023-12-01","_meta":{"source":"NPPES","snapshot_date":"2023-12-01","doc_url":"https://findmynpi.com/api"}}