{"npi":"1477869626","type":"NPI-1","status":"active","name":{"display":"Kelly Yurchak CRNA","other":[{"code":"1","type":"Formerly known as","value":"SMITH, KELLY L"}],"first":"KELLY","last":"YURCHAK","middle":"LYNN","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":"PA","license":"RN565907"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":false,"state":"DE","license":"L10036327"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"NJ","license":"26NR13377600"}]},"addresses":[{"purpose":"LOCATION","street_1":"111 S 11TH ST","city":"PHILADELPHIA","state":"PA","postal_code":"191074824","country_code":"US","street_2":"SUITE 8490","phone":"2159556161"},{"purpose":"MAILING","street_1":"111 S 11TH ST","city":"PHILADELPHIA","state":"PA","postal_code":"191074824","country_code":"US","street_2":"SUITE 8490","phone":"2159556161"}],"license":{"state":"NJ","number":"26NR13377600"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160819000821","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"NJ","pac_id":"3870780620"}]},"enumeration_date":"2010-08-26","last_updated":"2022-09-09","_meta":{"source":"NPPES","snapshot_date":"2022-09-09","doc_url":"https://findmynpi.com/api"}}