{"npi":"1558097295","type":"NPI-1","status":"active","name":{"display":"Allison Fuller","other":[],"first":"ALLISON","last":"FULLER","middle":"NICOLE"},"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":"AZ","license":"325631"}]},"addresses":[{"purpose":"LOCATION","street_1":"101 CIVIC CENTER LN","city":"LAKE HAVASU CITY","state":"AZ","postal_code":"864035607","country_code":"US","phone":"9288558185"},{"purpose":"MAILING","street_1":"101 CIVIC CENTER LN","city":"LAKE HAVASU CITY","state":"AZ","postal_code":"864035683","country_code":"US","phone":"9288558185"}],"license":{"state":"AZ","number":"325631"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250924000696","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"AZ","pac_id":"8820593676"}]},"enumeration_date":"2022-07-26","last_updated":"2025-09-10","_meta":{"source":"NPPES","snapshot_date":"2025-09-10","doc_url":"https://findmynpi.com/api"}}