{"npi":"1366858169","type":"NPI-1","status":"active","name":{"display":"Genesis Bangha CRNA","other":[],"first":"GENESIS","last":"BANGHA","middle":"SONG","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":false,"state":"NC","license":"7801"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"TX","license":"1101538"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":false,"state":"SC","license":"102393"}]},"addresses":[{"purpose":"LOCATION","street_1":"1740 NICHOLASVILLE RD","city":"LEXINGTON","state":"KY","postal_code":"405031431","country_code":"US","phone":"8592606100"},{"purpose":"MAILING","street_1":"1740 NICHOLASVILLE RD","city":"LEXINGTON","state":"KY","postal_code":"405031431","country_code":"US"}],"license":{"state":"TX","number":"1101538"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150202001412","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"KY","pac_id":"1658696273"},{"enrlmt_id":"I20230625000080","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"TX","pac_id":"1658696273"},{"enrlmt_id":"I20250820001762","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"NC","pac_id":"1658696273"},{"enrlmt_id":"I20251030000666","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"NM","pac_id":"1658696273"}]},"enumeration_date":"2014-07-01","last_updated":"2025-08-07","_meta":{"source":"NPPES","snapshot_date":"2025-08-07","doc_url":"https://findmynpi.com/api"}}