{"npi":"1619291358","type":"NPI-1","status":"active","name":{"display":"Mrs. Andrea Wojdyla CRNA","other":[{"code":"1","type":"Formerly known as","value":"LILLIE, ANDREA"}],"first":"ANDREA","last":"WOJDYLA","middle":"LYNN","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":false,"state":"IA","license":"088212"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"IN","license":"28202194A"}]},"addresses":[{"purpose":"LOCATION","street_1":"7150 CLEARVISTA DR","city":"INDIANAPOLIS","state":"IN","postal_code":"46256","country_code":"US","phone":"3176215890"},{"purpose":"MAILING","street_1":"6626 E 75TH ST STE 500","city":"INDIANAPOLIS","state":"IN","postal_code":"462502890","country_code":"US"}],"license":{"state":"IN","number":"28202194A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"300014031","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20121012000814","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"IN","pac_id":"7517116296"}]},"enumeration_date":"2010-03-24","last_updated":"2023-01-04","_meta":{"source":"NPPES","snapshot_date":"2023-01-04","doc_url":"https://findmynpi.com/api"}}