{"npi":"1386937993","type":"NPI-1","status":"active","name":{"display":"Mr. Kenneth Childers C.R.N.A.","other":[],"first":"KENNETH","last":"CHILDERS","middle":"DEWEY","credential":"C.R.N.A."},"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":"CA","license":"585519"}]},"addresses":[{"purpose":"LOCATION","street_1":"99 W PORTAL AVE","city":"SAN FRANCISCO","state":"CA","postal_code":"941271303","country_code":"US","phone":"6006415661"},{"purpose":"MAILING","street_1":"1314 22ND AVE UNIT 22070","city":"SAN FRANCISCO","state":"CA","postal_code":"941221650","country_code":"US","phone":"4152901884"}],"license":{"state":"CA","number":"585519"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20111004000738","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"CA","pac_id":"8820260482"}]},"enumeration_date":"2011-05-16","last_updated":"2025-08-19","_meta":{"source":"NPPES","snapshot_date":"2025-08-19","doc_url":"https://findmynpi.com/api"}}