{"npi":"1609080746","type":"NPI-1","status":"active","name":{"display":"Ms. Miyvetteshaune Green CRNA","other":[],"first":"MIYVETTESHAUNE","last":"GREEN","middle":"MARQUISETTE","credential":"CRNA"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"363LA2100X","description":"Acute Care Nurse Practitioner","primary":false,"state":"FL","license":"3314562"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"FL","license":"3314562"}]},"addresses":[{"purpose":"LOCATION","street_1":"3020 SW 1ST STREET","city":"FT LAUDERDALE","state":"FL","postal_code":"33312","country_code":"US","phone":"9545845811"},{"purpose":"MAILING","street_1":"3020 SW 1ST ST","city":"FT LAUDERDALE","state":"FL","postal_code":"333121268","country_code":"US","phone":"9545845811"}],"license":{"state":"FL","number":"3314562"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090102000131","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"FL","pac_id":"3971665787"},{"enrlmt_id":"I20240219003369","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"GA","pac_id":"3971665787"},{"enrlmt_id":"I20240912002802","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"NC","pac_id":"3971665787"}]},"enumeration_date":"2007-05-09","last_updated":"2022-01-26","_meta":{"source":"NPPES","snapshot_date":"2022-01-26","doc_url":"https://findmynpi.com/api"}}