{"npi":"1487226437","type":"NPI-1","status":"active","name":{"display":"Mr. Evan Eid","other":[],"first":"EVAN","last":"EID"},"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":"WI","license":"11486-33"}]},"addresses":[{"purpose":"LOCATION","street_1":"1100 BERGSLIEN ST","city":"BALDWIN","state":"WI","postal_code":"540022600","country_code":"US","phone":"7156841111"},{"purpose":"MAILING","street_1":"130 S KNOWLES AVE","city":"NEW RICHMOND","state":"WI","postal_code":"540171727","country_code":"US","phone":"7152463018"}],"license":{"state":"WI","number":"11486-33"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20211210002035","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"WI","pac_id":"0345630075"},{"enrlmt_id":"I20240528000136","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"MN","pac_id":"0345630075"}]},"enumeration_date":"2021-07-10","last_updated":"2021-11-13","_meta":{"source":"NPPES","snapshot_date":"2021-11-13","doc_url":"https://findmynpi.com/api"}}