{"npi":"1366607889","type":"NPI-1","status":"active","name":{"display":"Dr. Krista Antenucci DO","other":[{"code":"1","type":"Formerly known as","value":"GUSTAD, KRISTA"}],"first":"KRISTA","last":"ANTENUCCI","middle":"LEIGH","credential":"DO"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":true,"state":"CO","license":"DR.0057492"}]},"addresses":[{"purpose":"LOCATION","street_1":"10240 PARK MEADOWS DR","city":"LONE TREE","state":"CO","postal_code":"801245425","country_code":"US","phone":"3033384545"},{"purpose":"MAILING","street_1":"10350 E DAKOTA AVE","city":"DENVER","state":"CO","postal_code":"802471314","country_code":"US"}],"license":{"state":"CO","number":"DR.0057492"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"36135151","state":"CO","issuer":null},{"type_code":"01","label":"Other","value":"029292","state":"CO","issuer":"KAISER COMMERCIAL NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20161209000481","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"CO","pac_id":"4789818667"}]},"enumeration_date":"2008-07-24","last_updated":"2021-11-18","_meta":{"source":"NPPES","snapshot_date":"2021-11-18","doc_url":"https://findmynpi.com/api"}}