{"npi":"1609338136","type":"NPI-1","status":"active","name":{"display":"Keren Wagner DNP, CRNA","other":[],"first":"KEREN","last":"WAGNER","credential":"DNP, 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":"RN597039"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":false,"state":"OH","license":"APRN.CRNA.019970"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"AL","license":"1-200299"}]},"addresses":[{"purpose":"LOCATION","street_1":"2105 E SOUTH BLVD","city":"MONTGOMERY","state":"AL","postal_code":"361162409","country_code":"US","phone":"3342882100"},{"purpose":"MAILING","street_1":"113 S PERRY ST STE 206","city":"LAWRENCEVILLE","state":"GA","postal_code":"300464811","country_code":"US"}],"license":{"state":"AL","number":"1-200299"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20211111001783","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"OH","pac_id":"7911396056"},{"enrlmt_id":"I20240813004073","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"AL","pac_id":"7911396056"},{"enrlmt_id":"I20251009000299","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"GA","pac_id":"7911396056"}]},"enumeration_date":"2019-04-03","last_updated":"2025-02-25","_meta":{"source":"NPPES","snapshot_date":"2025-02-25","doc_url":"https://findmynpi.com/api"}}