{"npi":"1609654219","type":"NPI-1","status":"active","name":{"display":"Glade Johnson CRNA, BSN","other":[],"first":"GLADE","last":"JOHNSON","middle":"WARREN","credential":"CRNA, BSN"},"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":"297873"},{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"UT","license":"10836809-3102"}]},"addresses":[{"purpose":"LOCATION","street_1":"13677 W MCDOWELL RD","city":"GOODYEAR","state":"AZ","postal_code":"853952635","country_code":"US","phone":"6238821500"},{"purpose":"MAILING","street_1":"21263 W SYCAMORE DR","city":"BUCKEYE","state":"AZ","postal_code":"853967898","country_code":"US"}],"license":{"state":"AZ","number":"297873"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231003000995","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"AZ","pac_id":"4486008976"}]},"enumeration_date":"2023-09-15","last_updated":"2023-09-20","_meta":{"source":"NPPES","snapshot_date":"2023-09-20","doc_url":"https://findmynpi.com/api"}}