{"npi":"1467167064","type":"NPI-1","status":"active","name":{"display":"Samantha Kingsley","other":[{"code":"1","type":"Formerly known as","value":"RIEL, SAMANTHA"}],"first":"SAMANTHA","last":"KINGSLEY"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"163WC0200X","description":"Critical Care Medicine Registered Nurse","primary":false,"state":"OH","license":"RN.410539"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"OH","license":"0020787"}]},"addresses":[{"purpose":"LOCATION","street_1":"5100 W BROAD ST","city":"COLUMBUS","state":"OH","postal_code":"432281672","country_code":"US","phone":"6145441000"},{"purpose":"MAILING","street_1":"992 WINDBOURNE ST","city":"COLUMBUS","state":"OH","postal_code":"432305045","country_code":"US","phone":"7403598302"}],"license":{"state":"OH","number":"0020787"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240117002985","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"OH","pac_id":"2264884071"}]},"enumeration_date":"2023-01-18","last_updated":"2023-12-30","_meta":{"source":"NPPES","snapshot_date":"2023-12-30","doc_url":"https://findmynpi.com/api"}}