{"npi":"1639249196","type":"NPI-2","status":"active","name":{"display":"Paul Kisucky CRNA PC","other":[],"organization_name":"PAUL KISUCKY CRNA PC","authorised_official":"Paul Kisucky"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1416 GEORGE DIETER DR","city":"EL PASO","state":"TX","postal_code":"799367601","country_code":"US","phone":"9152521654"},{"purpose":"MAILING","street_1":"PO BOX 220717","city":"EL PASO","state":"TX","postal_code":"799132717","country_code":"US","phone":"6823657402"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"088570902","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"00C05V","state":null,"issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"2277986","state":null,"issuer":"AETNA"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-11-09","last_updated":"2013-11-15","_meta":{"source":"NPPES","snapshot_date":"2013-11-15","doc_url":"https://findmynpi.com/api"}}