{"npi":"1417429523","type":"NPI-1","status":"active","name":{"display":"Dr. Samantha Vickers DNP, CRNA","other":[],"first":"SAMANTHA","last":"VICKERS","middle":"JUANITA","credential":"DNP, 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":"FL","license":"APRN11000749"}]},"addresses":[{"purpose":"LOCATION","street_1":"3625 UNIVERSITY BLVD S","city":"JACKSONVILLE","state":"FL","postal_code":"322164207","country_code":"US","phone":"9047026111"},{"purpose":"MAILING","street_1":"47 LOGGERHEAD LN","city":"PONTE VEDRA","state":"FL","postal_code":"320822585","country_code":"US","phone":"3156510047"}],"license":{"state":"FL","number":"APRN11000749"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190319002565","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"FL","pac_id":"9931307022"}]},"enumeration_date":"2018-12-31","last_updated":"2024-04-09","_meta":{"source":"NPPES","snapshot_date":"2024-04-09","doc_url":"https://findmynpi.com/api"}}