{"npi":"1437523974","type":"NPI-1","status":"active","name":{"display":"Nicole Hall","other":[{"code":"1","type":"Formerly known as","value":"KIRBY, NICOLE"}],"first":"NICOLE","last":"HALL","middle":"MARIE"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"KY","license":"1119245"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"KY","license":"3009969"}]},"addresses":[{"purpose":"LOCATION","street_1":"530 S JACKSON ST","city":"LOUISVILLE","state":"KY","postal_code":"402021675","country_code":"US","phone":"5028521735","fax":"5028526056"},{"purpose":"MAILING","street_1":"PO BOX 909","city":"LOUISVILLE","state":"KY","postal_code":"402010909","country_code":"US","phone":"5025880328","fax":"5025874784"}],"license":{"state":"KY","number":"3009969"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"300001149","state":"IN","issuer":null},{"type_code":"05","label":"Medicaid","value":"7100424210","state":"KY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160222002354","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"KY","pac_id":"2567767007"}]},"enumeration_date":"2015-11-20","last_updated":"2020-06-08","_meta":{"source":"NPPES","snapshot_date":"2020-06-08","doc_url":"https://findmynpi.com/api"}}