{"npi":"1578575239","type":"NPI-1","status":"active","name":{"display":"Nyle Neta CRNA","other":[],"first":"NYLE","last":"NETA","middle":"C","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":true,"state":"WI","license":"129657"}]},"addresses":[{"purpose":"LOCATION","street_1":"2845 GREENBRIER RD","city":"GREEN BAY","state":"WI","postal_code":"543116519","country_code":"US","phone":"9202883388","fax":"9202883370"},{"purpose":"MAILING","street_1":"3305 N BALLARD RD","city":"APPLETON","state":"WI","postal_code":"549119001","country_code":"US","street_2":"STE A","phone":"9202023363","fax":"9209393827"}],"license":{"state":"WI","number":"129657"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"44325000","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040205000576","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"WI","pac_id":"8820981640"}]},"enumeration_date":"2006-08-12","last_updated":"2022-11-17","_meta":{"source":"NPPES","snapshot_date":"2022-11-17","doc_url":"https://findmynpi.com/api"}}